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The influence of femoral tunnel length on graft rupture after anterior cruciate ligament reconstruction

Overview of attention for article published in Journal of Orthopaedics and Traumatology, February 2017
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Title
The influence of femoral tunnel length on graft rupture after anterior cruciate ligament reconstruction
Published in
Journal of Orthopaedics and Traumatology, February 2017
DOI 10.1007/s10195-017-0448-9
Pubmed ID
Authors

Luiz Gabriel Betoni Guglielmetti, Leandro Girardi Shimba, Leonardo Cantarelli do Santos, Fabrício Roberto Severino, Nilson Roberto Severino, Patrícia Maria de Moraes Barros Fucs, Ricardo de Paula Leite Cury

Abstract

For ACL reconstruction, the minimum length of the femoral tunnel and the flexor tendon graft length needed within the tunnel for proper integration have not been defined. The aim of this study was to assess whether a short tunnel is a risk factor for poor prognosis and re-rupture by comparing the outcomes of patients with short femoral tunnels to those of patients with longer tunnels. A retrospective observational study of 80 patients who underwent ACL reconstruction using flexor tendons via the medial transportal or transtibial technique was performed. Patients were categorized according to the amount of graft within the tunnel: ≤1.5 versus >1.5 cm; ≤2 versus >2 cm; ≤2.5 versus >2.5 cm; and ≤1.5 versus >2.5 cm. Patients were evaluated 2 years after surgery by performing a physical examination (Lachman, pivot shift and anterior drawer tests), using a KT1000 arthrometer, calculating objective and subjective International Knee Documentation Committee scores, conducting the Lysholm score, and recording re-ruptures. Of the 80 operated patients, nine were lost to follow-up. Comparative assessment of the patients with different amounts of graft within the tunnel indicated no significant differences in the evaluated outcomes, except for positive Lachman test results, which were more frequent in patients with tunnels with ≤2 cm of graft than in those with tunnels with >2 cm of graft. The amount of graft within the femoral tunnel does not appear to be a risk factor for clinical instability of the knee or re-rupture of the graft. case series, level IV. Case series, level IV.

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Geographical breakdown

Country Count As %
Unknown 54 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 9 17%
Researcher 7 13%
Student > Bachelor 7 13%
Student > Postgraduate 5 9%
Student > Doctoral Student 4 7%
Other 5 9%
Unknown 17 31%
Readers by discipline Count As %
Medicine and Dentistry 20 37%
Sports and Recreations 6 11%
Nursing and Health Professions 5 9%
Engineering 3 6%
Agricultural and Biological Sciences 2 4%
Other 1 2%
Unknown 17 31%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 31 July 2017.
All research outputs
#21,186,729
of 23,849,058 outputs
Outputs from Journal of Orthopaedics and Traumatology
#187
of 222 outputs
Outputs of similar age
#272,717
of 311,886 outputs
Outputs of similar age from Journal of Orthopaedics and Traumatology
#9
of 12 outputs
Altmetric has tracked 23,849,058 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 222 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.0. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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We're also able to compare this research output to 12 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.