Systematic Review on Cadaveric Studies of Anatomic Anterior Cruciate Ligament Reconstruction

Overview

Journal Knee Surg Sports Traumatol Arthrosc

Publisher Wiley

Specialties Emergency Medicine
General Surgery
Orthopedics

Date 2011 May 18

PMID 21584719

Citations 13

Authors

Carola F Van Eck

Kristian Samuelsson

Shail M Vyas

C Niek van Dijk

Jon Karlsson

Freddie H Fu

Affiliations

Soon will be listed here.

Abstract

Purpose: One of the templates in the development of "anatomic" anterior cruciate ligament (ACL) reconstruction has been basic science studies focusing on comparing various aspects of ACL reconstruction in order to optimize surgical technique. However, often such papers lack necessary data in the methods section to ascertain the proposed surgical technique as anatomic. The goal of this systematic review was to evaluate basic science studies on anatomic ACL reconstruction.

Methods: A systematic electronic search was performed using the MEDLINE and EMBASE databases. Studies that were published from January 1995 to April 2009 were included. Only basic science studies on human cadavers that reported "anatomic" ACL reconstruction and written in English were included. Variation in surgical technique and reporting of surgical description were assessed.

Results: Eighteen studies were included in this systematic review. Only the fixation method, graft type and tension pattern were reported in the majority studies. Notchplasty and radiographic documentation were grossly underreported. Other surgical data were reported at best in two-thirds of the studies. There was a large variation in the reported surgical techniques among the included studies. Due to the aforementioned, it was not deemed possible to pool data of the included studies.

Conclusion: For most variables in the surgical technique description, there was sizeable underreporting resulting in an inability to pool the outcomes. To provide literature that holds up to the current high level of medical research, authors are encouraged to report their surgical technique in a thorough manner, similar to high-level clinical trials.

Citing Articles

Evaluation of the Angle Between the Long Axis of the Femoral Anterior Cruciate Ligament Footprint and Bony Morphology of the Knee: A Cadaveric Descriptive Study.

Suruga M, Iriuchishima T, Yahagi Y, Iwama G, Horaguchi T, Aizawa S Indian J Orthop. 2024; 58(5):510-516.

PMID: 38694688 PMC: 11058129. DOI: 10.1007/s43465-024-01131-5.

Clinical Outcome Evaluation of Anatomic Anterior Cruciate Ligament Reconstruction With Tunnel Positioning Using Gold Standard Techniques: A Systematic Review and Meta-analysis.

Fernandes T, Moreira H, Andrade R, Sasaki S, Bernardo W, Pedrinelli A Orthop J Sports Med. 2021; 9(6):23259671211013327.

PMID: 34262978 PMC: 8243110. DOI: 10.1177/23259671211013327.

Influence of the different anteromedial portal on femoral tunnel orientation during anatomic ACL reconstruction.

Moon D, Jo H, Lee D, Kang D, Byun J, Hwang S Acta Orthop Traumatol Turc. 2017; 51(3):227-232.

PMID: 28366539 PMC: 6197545. DOI: 10.1016/j.aott.2017.02.004.

Double-bundle anterior cruciate ligament reconstruction is superior to single-bundle reconstruction in terms of revision frequency: a study of 22,460 patients from the Swedish National Knee Ligament Register.

Svantesson E, Sundemo D, Hamrin Senorski E, Alentorn-Geli E, Musahl V, Fu F Knee Surg Sports Traumatol Arthrosc. 2016; 25(12):3884-3891.

PMID: 27882413 PMC: 5698375. DOI: 10.1007/s00167-016-4387-4.

Biomechanical comparison of graft structures in anterior cruciate ligament reconstruction.

Lord B, El-Daou H, Sabnis B, Gupte C, Wilson A, Amis A Knee Surg Sports Traumatol Arthrosc. 2016; 25(2):559-568.

PMID: 27637854 PMC: 5331106. DOI: 10.1007/s00167-016-4316-6.

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