Evidence map›Paper›PMID 41392848›Full record

ArticleUlusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES2025

Comparing clinical and functional outcomes of anterior cruciate ligament reconstruction using sonoelastografi.

Eralp Erdoğan, Zafer Güneş, Özgür Kaya, Mehmet Hamdi Şahan, Veysel Burulday, Özge Vergili, Sancar Serbest, Uğur Tiftikçi

Abstract readComparative Study
In one paragraph

Article in Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Eralp ErdoğanDepartment of Orthopedics and Traumatology, Ankara Training and Research Hospital, Ankara-Türkiye.
Zafer GüneşDepartment of Orthopedics and Traumatology, Ankara Training and Research Hospital, Ankara-Türkiye.
Özgür KayaDepartment of Orthopedics and Traumatology, Liv Hospital, Ankara-Türkiye.
Mehmet Hamdi ŞahanDepartment of Radiology, Gaziantep University Faculty of Medicine, Gaziantep-Türkiye.
Veysel BuruldayDepartment of Radiology, Inonu University Faculty of Medicine, Malatya-Türkiye.
Özge VergiliDepartment of Physiotherapy And Rehabilitation, Kırıkkale University Faculty of Health Science, Kırıkkale-Türkiye.
Sancar SerbestDepartment of Orthopedics And Traumatology, Kırıkkale University Faculty of Medicine, Kırıkkale-Türkiye.
Uğur TiftikçiDepartment of Orthopedics and Traumatology, Ankara Training and Research Hospital, Ankara-Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInjuries to the anterior cruciate ligament (ACL) are prevalent, particularly following athletic incidents. Most clinicians use MRI for diagnostic purposes and therapy assessment, but it can present challenges in terms of cost and accessibility. While ultrasound guidance (USG) is more readily available, it is inadequate for diagnosing ACL injury in isolation. Therefore, our study aimed to evaluate the effectiveness of sonoelastography, a novel method for assessing tendon injuries, in the context of anterior cruciate ligament (ACL) injuries.

methodsThis study involved a cohort of 45 patients who fulfilled the designated inclusion criteria. We selected the patients from a cohort of 105 individuals who underwent anatomical ACL restoration at the orthopedics and traumatology clinic between 2017 and 2020. The clinical examination results and the stability and quality of the ACL in patients who underwent ACL reconstruction were compared with those from magnetic resonance imaging (MRI) and stress echo laxity (SEL) testing.

resultsThe study comprised 40 individuals with a mean age of 30.7+-1.4 years. The patients' Lysholm scores exhibited consider-able enhancement post-operation, with a mean increase from 2.2+-0.9 pre-operation to 6.1+-1.6 post-operation. The Lachman, anterior drawer, and pivot-shift tests demonstrated improvements relative to the preoperative values. No substantial difference was observed in the single-leg hop test relative to the unaffected side. The SEL findings indicated that 15.6% of the healthy ACL instances were categorized as type 2a, 68.9% as type 2b, and 15.6% as type 3a. In the reconstructed ACL cohort, 17.8% were categorized as type 2a, 62.2% as type 2b, and 20% as type 3a. No substantial statistical difference was detected between the healthy ACL and the reconstructed ACL. No occurrences of type 3b or type 4 were identified in any of the patients.

conclusionWe used SEL to find a torn ACL and check its stability and condition after the ligament was reconstructed with a graft. We utilize SEL, or stress sonoelastography, to monitor graft viability and evaluate the progression of ACL injuries. It is also beneficial in evaluating whether the restored ligament possesses a functional structure akin to that of a normal ligament. Moreover, considering its accessibility, cost-effectiveness, replicability, and patient preference, it may provide a more advantageous alternative to MRI.

Indexed as

Anterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionElasticity Imaging TechniquesAdultCohort StudiesFemaleHumansMagnetic Resonance ImagingMaleTreatment OutcomeYoung Adult

Identifiers

PMID41392848
PMCPMC12782704

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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.