Evidence map›Paper›PMID 39521388›Full record

ArticleArthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association2025

Limited Use of Supervised Physical Rehabilitation Beyond 3 Months After Arthroscopic Anterior Cruciate Ligament Reconstruction With Greater Use in Female and Younger Patients.

Ashley M Rosenberg, Justin Tiao, Brocha Z Stern, Timothy Hoang, Bashar Zaidat, David E Kantrowitz, James N Gladstone, Shawn G Anthony

Abstract read
In one paragraph

Article in Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

8 authors.

Ashley M RosenbergLeni and Peter W. May Department of Orthopaedics, Icahn School of Medicine at Mount Sinai, New York, New York, U.S.A.
Justin TiaoLeni and Peter W. May Department of Orthopaedics, Icahn School of Medicine at Mount Sinai, New York, New York, U.S.A.
Brocha Z SternLeni and Peter W. May Department of Orthopaedics, Icahn School of Medicine at Mount Sinai, New York, New York, U.S.A.; Institute for Healthcare Delivery Science, Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, New York, U.S.A.
Timothy HoangLeni and Peter W. May Department of Orthopaedics, Icahn School of Medicine at Mount Sinai, New York, New York, U.S.A.
Bashar ZaidatLeni and Peter W. May Department of Orthopaedics, Icahn School of Medicine at Mount Sinai, New York, New York, U.S.A.
David E KantrowitzLeni and Peter W. May Department of Orthopaedics, Icahn School of Medicine at Mount Sinai, New York, New York, U.S.A.
James N GladstoneLeni and Peter W. May Department of Orthopaedics, Icahn School of Medicine at Mount Sinai, New York, New York, U.S.A.
Shawn G AnthonyLeni and Peter W. May Department of Orthopaedics, Icahn School of Medicine at Mount Sinai, New York, New York, U.S.A.. Electronic address: shawn.anthony@mountsinai.org.

Funding

Conduits: Mount Sinai Health System Translational Science HubUL1TR004419 · NCATS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Rosalind J Wright · 2022 to 2026
$46.4M
NCATS NIH HHS UL1 TR004419
6 · The paper itself

Abstract

purposeTo characterize the initiation and use of supervised physical rehabilitation after arthroscopic anterior cruciate ligament reconstruction (ACLR), including overall duration of rehabilitation and number of rehabilitation visits, and to describe demographic and clinical predictors of rehabilitation initiation and use characteristics.

methodsPatients aged 14 to 64 years in the United States who underwent ACLR from 2017 to 2020 were identified using the Merative MarketScan Database. For patients initiating rehabilitation within 45 days postoperatively, the overall duration and number of visits within 1 year after surgery were determined. Visits were categorized into rehabilitation phases, with visits 0-90 days postoperatively categorized as phase I, 91-180 days as phase II, 181-270 days as phase III, and 271-365 days as phase IV. Multivariable regression models identified predictors of rehabilitation initiation, duration in days, and number of visits.

resultsOf 20,097 patients who underwent ACLR, 88.1% (n = 17,704) initiated postoperative rehabilitation, receiving phase I services. Additionally, 55.0% (n = 11,053) received phase II services, 17.0% (n = 3417) phase III services, and 3.9% (n = 779) phase IV services. The median duration was 104 days (interquartile range 63-157), and the median number of visits was 21 (interquartile range 12-32). Multiple significant predictors of rehabilitation initiation, duration, and number of visits were found.

conclusionsAlthough most patients use supervised physical rehabilitation after ACLR, only 55% receive rehabilitation beyond 3 months and only 17% beyond 6 months after surgery. There are several significant drivers of rehabilitation initiation, overall duration, and number of visits. Female and younger patients have greater use of rehabilitation, and notable regional differences suggest an opportunity to improve standardization of care. LEVEL OF EVIDENCE: Level III, retrospective descriptive study.

Indexed as

Anterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionArthroscopyPhysical Therapy ModalitiesAdolescentAdultAge FactorsFemaleHumansMaleMiddle AgedRetrospective StudiesSex FactorsTime FactorsUnited StatesYoung Adult

Identifiers

PMID39521388
PMCPMC12056165

What Socratic holds

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Registered trials

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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 Socratic graph.