Current Concepts| Volume 29, ISSUE 6, P1101-1107, June 2013

Evaluation of Information Available on the Internet Regarding Anterior Cruciate Ligament Reconstruction


      Searching the Internet is one of the most popular methods for acquiring information related to health. The Internet offers physicians and patients easy access to a wide range of medical material from anywhere in the world. For many patients, this information helps formulate decisions related to their health and health care. An important caveat is that virtually anything can be published on the Internet. Although academic publications require rigorous peer review, Internet websites have no regulatory body monitoring quality and content. With a lack of external regulation, the information retrieved may be incorrect or outdated. The Internet can be a valuable asset for educating patients, but because of significant variability physicians should be familiar with the quality of information available. This article discusses both the strengths and weaknesses of information available on the Internet regarding anterior cruciate ligament repair.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Arthroscopy
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Kamath G.V.
        • Redfern J.C.
        • Greis P.E.
        • Burke R.T.
        Revision anterior cruciate ligament reconstruction.
        Am J Sports Med. 2011; 39: 199-217
        • Friel N.A.
        • Chu C.R.
        The role of ACL injury in the development of posttraumatic knee osteoarthritis.
        Clin Sports Med. 2013; 32: 1
        • Frobell R.B.
        • Roos E.M.
        • Roos H.P.
        • Ranstam J.
        • Lohmander L.S.
        A randomized trial of treatment for acute anterior cruciate ligament tears.
        N Engl J Med. 2010; 363: 331-342
        • Love H.
        • Mohtadi N.
        Treatment of ACL tears in active young adults.
        Clin J Sports Med. 2011; 21: 73
        • Maffulli N.
        • Longo U.G.
        • Gougoulias N.
        • Loppini M.
        • Denaro V.
        Long-term health outcomes of youth sports injuries.
        Br J Sports Med. 2010; 44: 21-25
        • Ardern C.L.
        • Taylor N.F.
        • Feller J.A.
        • Webster K.E.
        Return-to-sport outcomes at 2 to 7 years after anterior cruciate ligament reconstruction surgery.
        Am J Sports Med. 2012; 40: 41-48
        • Brophy R.H.
        • Schmitz L.
        • Wright R.W.
        • et al.
        Return to play and future ACL injury risk after ACL reconstruction in soccer athletes from the Multicenter Orthopaedic Outcomes Network (MOON) Group.
        Am J Sports Med. 2012; 40: 2523-2529
        • Ellis H.B.
        • Matheny L.M.
        • Briggs K.K.
        • Pennock A.T.
        • Steadman J.R.
        Outcomes and revision rate after bone-patellar tendon-bone allograft versus autograft anterior cruciate ligament reconstruction in patients aged 18 years or younger with closed physes.
        Arthroscopy. 2012; 27: 1129-1134
        • Warner S.J.
        • Smith M.V.
        • Wright R.W.
        • Matava M.J.
        • Brophy R.H.
        Sport-specific outcomes after anterior cruciate ligament reconstruction.
        Arthroscopy. 2011; 27: 1129-1134
        • Vyas D.
        • Rabuck S.J.
        • Harner C.D.
        Allograft anterior cruciate ligament reconstruction: Indications, techniques, and outcomes.
        J Orthop Sports Phys Ther. 2012; 42: 196-207
        • Richardson M.L.
        • Wahl C.J.
        Detached femoral bone plug following anterior cruciate ligament repair.
        Radiology Case. 2011; 64
        • Tjoumakaris F.P.
        • Herz-Brown A.L.
        • Legath-Bowers A.
        • Sennett B.J.
        • Bernstein J.
        Complications in brief: Anterior cruciate ligament reconstruction.
        Clin Orthop Relat Res. 2012; : 1-7
        • Benner R.W.
        • Shelbourne K.D.
        • Freeman H.
        Infections and patellar tendon ruptures after anterior cruciate ligament reconstruction: A comparison of ipsilateral and contralateral patellar tendon autografts.
        Am J Sports Med. 2011; 39: 519-525
        • Cheung S.C.
        • Allen C.R.
        • Gallo R.A.
        • Ma C.B.
        • Feeley B.T.
        Patients' attitudes and factors in their selection of grafts for anterior cruciate ligament reconstruction.
        Knee. 2012; 19: 49-54
        • Cohen R.A.
        • Stussman B.
        Health Information Technology Use Among Men and Women Aged 18-64: Early Release of Estimates from the National Health Interview Survey, January-June 2009.
        National Center for Health Statistics, Centers for Disease Control, Atlanta, GA2010
        • Koh H.S.
        • In Y.
        • Kong C.G.
        • Won H.Y.
        • Kim K.H.
        • Lee J.H.
        Factors affecting patients' graft choice in anterior cruciate ligament reconstruction.
        Clin Orthop Surg. 2010; 2 (Epub 2010 May 4): 69-75
        • Groves N.D.
        • Humphreys H.W.
        • Williams A.J.
        • Jones A.
        Effect of informational internet web pages on patients' decision-making: Randomised controlled trial regarding choice of spinal or general anaesthesia for orthopaedic surgery.
        Anaesthesia. 2010; 65: 277-282
        • Lichtenfeld L.J.
        Can the beast be tamed? The woeful tale of accurate health information on the Internet.
        Ann Surg Oncol. 2012; : 1-2
        • Starman J.S.
        • Gettys F.K.
        • Capo J.A.
        • Fleischli J.E.
        • Norton H.J.
        • Karunakar M.A.
        Quality and content of Internet-based information for ten common orthopaedic sports medicine diagnoses.
        J Bone Joint Surg Am. 2010; 92: 1612-1618
        • Gosselin M.M.
        • Mulcahey M.K.
        • Feller E.
        • Hulstyn M.J.
        Examining internet resources on gender differences in ACL injuries: What patients are reading.
        Knee. 2012 Dec 20; ([Epub ahead of print])
        • Dy C.J.
        • Taylor S.A.
        • Patel R.M.
        • Kitay A.
        • Roberts T.R.
        • Daluiski A.
        The effect of search term on the quality and accuracy of online information regarding distal radius fractures.
        J Hand Surg Am. 2012; 37: 1882-1887
        • Morr S.
        • Shanti N.
        • Carrer A.
        • Kubeck J.
        • Gerling M.C.
        Quality of information concerning cervical disc herniation on the Internet.
        Spine J. 2010; 4: 350-354
        • Qureshi S.A.
        • Koehler S.M.
        • Lin J.D.
        • Bird J.
        • Garcia R.M.
        • Hecht A.C.
        An evaluation of information on the Internet of a new device: The cervical artificial disc replacement.
        Spine. 2012; 37: 881-883
        • Beredjiklian P.K.
        • Bozentka D.J.
        • Steinberg D.R.
        • Bernstein J.
        Evaluating the source and content of orthopaedic information on the Internet. The case of carpal tunnel syndrome.
        J Bone Joint Surg Am. 2000; 82-A: 1540-1543
        • Sambandam S.N.
        • Ramasamy V.
        • Priyanka P.
        • Ilango B.
        Quality analysis of patient information about knee arthroscopy on the World Wide Web.
        Arthroscopy. 2007; 23: 509-513.e2
        • Bernard L.
        • Parham L.
        The impact of web 2.0 on the doctor-patient relationship.
        J Law Med Ethics. 2010; 38: 17-26
        • Purcell K.
        • Brenner J.
        • Rainie L.
        Search Engine Use 2012.
        Pew Internet & American Life Project, Washington, DC2012
      1. Health on the Net Foundation. Available at: Accessed January 23, 2012.