Evidence map›Paper›PMID 42164840›Full record

ArticleJournal of experimental orthopaedics2026

Increased operative time is an independent risk factor for surgical complications following isolated anterior cruciate ligament reconstruction in skeletally immature patients.

Rishi Sinha, Robert Van Pelt, Daniel W Green, Kevin G Shea, Emily L Niu, Michael G Saper, Matthew R Schmitz, Theodore J Ganley, Philip L Wilson, Henry B Ellis and 1 more

Abstract read
In one paragraph

Article in Journal of experimental orthopaedics, 2026. 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. Article
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

11 authors.

Rishi SinhaCarilion Clinic Department of Orthopaedic Surgery Roanoke Virginia USA.ORCID https://orcid.org/0000-0001-5368-8097
Robert Van PeltScottish Rite for Children Dallas Texas USA.
Daniel W GreenDepartment of Orthopedic Surgery Hospital for Special Surgery New York New York USA.
Kevin G SheaDepartment of Orthopedic Surgery Stanford University Palo Alto California USA.
Emily L NiuDepartment of Orthopedic Surgery and Sports Medicine Children's National Hospital Washington DC USA.
Michael G SaperDepartment of Orthopedics and Sports Medicine Seattle Children's Hospital Seattle Washington USA.
Matthew R SchmitzDivision of Orthopaedic Surgery Rady Children's Hospital San Diego California USA.
Theodore J GanleyChildren's Hospital of Philadelphia, Sports Medicine and Performance Center Philadelphia Pennsylvania USA.
Philip L WilsonScottish Rite for Children Dallas Texas USA.
Henry B EllisScottish Rite for Children Dallas Texas USA.
SCORE Quality Improvement Registry

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: In the context of increasing intensive year-round training amongst youth athletes, the incidence of paediatric anterior cruciate ligament (ACL) reconstruction has risen markedly. There is a growing interest in minimising surgical complications for these patients. Although the literature has demonstrated an association between operative time and complications for ACL reconstruction in adults, this has not been explored in younger patients. The primary purpose of this study was to determine whether operative time is a risk factor for complications following ACL reconstruction in skeletally immature patients. Secondary aims included identifying the most common types of complications in this cohort and identifying which of these complications were associated with increased operative time. Methods: A prospective, multicenter surgeon-driven registry was reviewed to identify skeletally immature patients who underwent primary isolated ACL reconstruction, with a minimum 8-month follow-up. Demographics, surgical characteristics, operative time and complications were recorded. Continuous variables were compared via an independent Results: A total of 719 patients were included with a mean follow-up of 17.6 ± 8.6 months (range 8-30 months), 483 (67.2%) were male. Mean age was 13.3 ± 1.9 years. Mean operative time was 115.1 ± 44.2 min. The complication rate for the cohort was 15.3%. After adjusting for baseline characteristics, increased operative time remained an independent risk factor for developing a complication (OR = 1.19, Conclusions: Increased operative time was found to be an independent risk factor for complications following ACL reconstruction for skeletally immature patients. Specifically, operative time was associated with surgical site infection and arthrofibrosis. Future efforts to improve operative efficiency are warranted to improve patient outcomes. Level of Evidence: Level III.

Indexed as

adolescentanterior cruciate ligamentcomplicationsoperative timesurgical site infection

Identifiers

PMID42164840
PMCPMC13185210

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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.