ArticleOrthopaedic journal of sports medicine2026
Magnetic Resonance Imaging Assessment of Bridge-Enhanced ACL Restoration: An Imaging Atlas of Morphological Features and Healing Trajectories.
Article in Orthopaedic journal of sports medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02664545 (A Prospective, Randomized, Controlled, Clinical Trial Evaluating the Non-Inferiority of Bridge-Enhanced Anterior Cruciate Ligament Repair), which is not on this map. Cited by 1 paper.
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.
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.
A Prospective, Randomized, Controlled, Clinical Trial Evaluating the Non-Inferiority of Bridge-Enhanced Anterior Cruciate Ligament Repair (BEAR) to Anterior Cruciate Ligament Reconstruction With an Autologous Tendon Graft (ACLR)
Who cites it
1 citing paper in PubMed.
- Bridge-Enhanced Anterior Cruciate Ligament Repair versus Autograft Reconstruction in Anterior Cruciate Ligament Surgery.Journal of orthopaedic case reports · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The use of bridge-enhanced anterior cruciate ligament (ACL) restoration (BEAR) procedures is on the rise. Yet, there is a paucity of literature describing the radiographic appearance of the ACL after this procedure. Purpose: To present the quantitative and qualitative postoperative changes in healing ACLs within the first 24 months after an ACL restoration procedure. Study Design: Case series; Level of evidence, 4. Methods: A total of 64 patients (64 knees, 19.4 ± 5 years, 57% women) underwent magnetic resonance imaging (MRI) of the knee 6, 12, and 24 months after ACL restoration surgery with an extracellular matrix scaffold as part of a randomized-controlled trial. The ACL sagittal elevation angle and tunnel positions, along with ACL volume, mean cross-sectional area (CSA), length, and normalized signal intensity (SI), were quantified from MRI. Patients were divided into quartiles based on SI at 24 months after surgery for inclusion in the qualitative analysis with an adapted framework for assessing tissue quality. Additional cases were selected for qualitative analysis based on clinical representations. Linear mixed modeling with Tukey post hoc corrections was used to analyze quantitative ACL healing parameters. Results: Tunnel positions were anatomic in 26.6% of femurs and 68.8% of tibias. The healing ACL sagittal elevation angle remained stable (<1° change between postoperative time points; Conclusion: The present study demonstrates that throughout 2 years of serial imaging after an ACL restoration procedure, the healing ACL becomes smaller cross-sectionally and more organized (lower normalized SI). Despite changes in the ACL size and ACL SI, the sagittal orientation remains unchanged and comparable with the contralateral native ACL. In the qualitative analysis, 7 distinct healing trajectories were identified. These data are important for interpreting postoperative imaging after the BEAR procedure, and for identifying that several healing trajectories exist after a restoration procedure. Further studies are warranted to identify patient-specific factors that may influence these trajectories. Registration: NCT02664545 (ClinicalTrials.gov identifier).
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.