SynthesisClinical biomechanics (Bristol, Avon)2026
Differences in gait biomechanics in the first year after anterior cruciate ligament reconstruction: A systematic review.
Synthesis in Clinical biomechanics (Bristol, Avon), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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.
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Who cites it
2 citing papers in PubMed.
- Examining Neuromuscular and Cortical Activity Over 1 Year Following Anterior Cruciate Ligament Reconstruction.Scandinavian journal of medicine & science in sports · 2026Observational
- Comparison of clinical efficacy between all-inside technique and traditional technique in anterior cruciate ligament reconstruction under knee arthroscopy.Journal of orthopaedic surgery and research · 2026Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundAltered gait biomechanics following anterior cruciate ligament reconstruction (ACLR) contribute to the 3-6 times greater risk of osteoarthritis development in this population compared to those without a knee injury. To mitigate the onset of osteoarthritis, it is necessary to understand gait recovery during the first year post-ACLR when patients have access to rehabilitative care. The purpose of this review was to compare ACLR limb gait biomechanics to the uninjured limb and healthy controls during the first year of recovery.
methodsOnline database searches of PubMed, CINAHL, Scopus, and SportDiscus were conducted from inception to January 2025. Eligibility criteria included longitudinal studies of individuals with ACL injury who underwent ACLR (≤35 years of age) with a baseline gait assessment between pre-ACLR and 6 months post-ACLR and a follow up assessment <12 months post-surgical; and cross-sectional studies that met the same criteria except for study design. Methodological quality was assessed with the Black and Downs scale. Demographic and surgical characteristics and biomechanical outcomes were extracted from each study.
findingsNine studies were included in the review. The ACLR limb gait biomechanics incrementally improved in the first year of recovery. However, the ACLR limb displayed smaller sagittal plane knee angles and internal moments and was underloaded in the first 50 % stance compared to the uninjured limb and healthy controls throughout the first year post-ACLR. Differences in frontal plane loading were inconsistent.
interpretationAberrant gait biomechanics associated with osteoarthritis development are not resolved during the time when patients have access to care.
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Registered trials
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