Evidence map›Paper›PMID 41019471›Full record

ArticleOrthopaedic journal of sports medicine2025

Return to Previous Levels of Performance Around 10 Months After Anterior Cruciate Ligament Reconstruction Using Bone-Patellar Tendon-Bone Autograft Does Not Delay Signal Intensity Reduction in a Graft: A Serial 3.0-T MRI Study.

Tomohiro Tomihara, Yusuke Hashimoto, Shiro Okazaki, Shinji Takahashi, Masatoshi Taniuchi, Junsei Takigami, Akira Yoneda, Hiroshi Katsuda

Abstract read
In one paragraph

Article in Orthopaedic journal of sports medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Tomohiro TomiharaDepartment of Orthopaedic Surgery, Shimada Hospital, Habikino City, Osaka, Japan.ORCID https://orcid.org/0000-0002-2646-3391
Yusuke HashimotoDepartment of Sport Sciences, Osaka University of Health and Sport Sciences, Sennan District, Osaka, Japan.ORCID https://orcid.org/0000-0001-8138-5341
Shiro OkazakiDepartment of Orthopaedic Surgery, Hirohata Hospital, Himeji, Hyogo, Japan.
Shinji TakahashiDepartment of Orthopaedic Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan.
Masatoshi TaniuchiDepartment of Orthopaedic Surgery, Shimada Hospital, Habikino City, Osaka, Japan.
Junsei TakigamiDepartment of Orthopaedic Surgery, Shimada Hospital, Habikino City, Osaka, Japan.
Akira YonedaDepartment of Orthopaedic Surgery, Shimada Hospital, Habikino City, Osaka, Japan.
Hiroshi KatsudaDepartment of Orthopaedic Surgery, Shimada Hospital, Habikino City, Osaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Many athletes expect to return to previous levels of performance (RTP) within 12 months after anterior cruciate ligament (ACL) reconstruction (ACLR) while ACL graft remodeling takes from 6 to 48 months. Therefore, RTP might deteriorate the ACL graft remodeling process. Purpose/Hypothesis: The purpose of this study was to evaluate the changes of signal intensity in ACL graft and assess whether RTP affects ACL graft remodeling after ACLR using bone-patellar tendon-bone (BPTB) autograft with a serial 3.0-T magnetic resonance image (MRI) at 6, 12, and 24 months. It was hypothesized that signal intensity reduction in ACL graft on MRI might be delayed by RTP within 12 months after ACLR using BPTB autograft. Study Design: Cross-sectional study; Level of evidence, 3. Methods: This retrospective cohort study consisted of 115 patients (48 male, 67 female) who underwent primary ACLR using BPTB autograft between 2018 and 2021, including 4 female patients with ACL graft rupture within 24 months. The signal-to-noise quotient (SNQ) values at intra-articular ACL graft on serial MRIs and the amount of change in SNQ value (1) from 6 to 12 months after ACLR (ΔSNQ [6-12]) and (2) from 12 to 24 months after ACLR (ΔSNQ [12-24]) were calculated. Patients were divided into 2 groups depending on whether patients were able to RTP (group A) or not (group B). To investigate the associated factors with ΔSNQ (6-12) and ΔSNQ (12-24), a fixed-effect multivariate logistic regression analysis was conducted with age, sex, body mass index (BMI), cartilage injury, postoperative Tegner score, and RTP as associated variables. Results: Of 111 patients with ≥24 months follow-up, 83 patients (74.8%) were able to RTP within a mean time of 10.4 months (range, 6.5-18 months). The mean ± SD SNQ values (6 months, 1.21 ± 1.94; 12 months, 1.16 ± 2.38; 24 months, 1.42 ± 2.65) did not vary over time. Mean ± SD ΔSNQ (6-12) and ΔSNQ (12-24) were -0.05 ± 2.29 and 0.26 ± 1.83, respectively. There were no significant differences in the SNQ values and ΔSNQs between groups A and B. The multivariate logistic regression analysis showed that postoperative Tegner score and RTP were not associated with ΔSNQ while higher BMI increased ΔSNQ (6-12) (odds ratio, 1.147; 95% CI, 1.016-1.295; Conclusion: RTP around 10 months after ACLR using BPTB autograft was not associated with SNQ reduction in ACL graft.

Indexed as

anterior cruciate ligament reconstructionbone–patellar tendon–bone autograftgraft remodelingreturn to previous levels of performance

Identifiers

PMID41019471
PMCPMC12461068

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.