Evidence map›Paper›PMID 41283179›Full record

ArticleWorld journal of clinical cases2025

Anterior cruciate ligament reconstruction in the modern era: A patient-centered approach.

Luca Galassi, Giuseppe Diodato Santoro, Marianna Cugliari, Daniele Schena

Abstract readEditorial
In one paragraph

Article in World journal of clinical cases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Review
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

4 authors.

Luca GalassiPostgraduate School of Vascular and Endovascular Surgery, University of Milan, Milan 20122, Lombardy, Italyluca.galassi@unimi.it.
Giuseppe Diodato SantoroPostgraduate School of Orthopaedics and Traumatology Surgery, University of Milan, Milan 20122, Lombardy, Italy.
Marianna CugliariPostgraduate School of Orthopaedics and Traumatology Surgery, University of Milan, Milan 20122, Lombardy, Italy.
Daniele SchenaOrthopaedics and Traumatology Unit, ASST Bergamo Est, P.O. Pesenti Fenaroli, Alzano Lombardo 24022, Lombardy, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anterior cruciate ligament (ACL) injuries are among the most frequent knee pathologies, with athletes-particularly females and those in pivot-heavy sports such as soccer, basketball, volleyball, and skiing-at increased risk. The success of ACL reconstruction is multifactorial, relying on individualized graft selection, surgical precision, patient-specific characteristics, and optimized rehabilitation. Despite the availability of various graft options-hamstring tendon, bone-patellar tendon-bone, and quadriceps tendon-no single type has demonstrated clear superiority, reinforcing the need for patient-tailored approaches based on anatomical, functional, and age-related factors. Surgical techniques continue to evolve, with adaptations such as physeal-sparing methods for skeletally immature patients and minimally invasive procedures aimed at reducing morbidity and improving recovery. Rehabilitation is a critical determinant of functional outcomes. Current evidence supports immediate mobilization, early weight-bearing, and initiation of neuromuscular and strength training, while routine use of continuous passive motion and bracing is discouraged, except in multi-ligament injuries. Prehabilitation is recommended, though accelerated rehabilitation remains controversial. Implant choice and fixation strategy are also essential to long-term success. The use of materials that reduce the risk of chronic complications and support biological integration is increasingly favored. Nevertheless, rare mechanical failures emphasize the need for accurate tunnel placement, appropriate implant selection, and vigilant postoperative monitoring. Outcomes are further influenced by patient-specific variables, including bone quality, metabolic status, and physical activity levels. Optimal ACL reconstruction results from a comprehensive, patient-centered strategy that integrates surgical accuracy, individualized rehabilitation, and continuous follow-up to minimize complications and enhance recovery.

Indexed as

Anterior cruciate ligament reconstructionAthletic injuriesGraft survivalMinimally invasivePatient-centered careRehabilitationSurgical proceduresTreatment outcome

Identifiers

PMID41283179
PMCPMC12635853

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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.