{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T16:24:39Z","timestamp":1787675079226,"version":"build-2784847793"},"reference-count":41,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T00:00:00Z","timestamp":1778803200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T00:00:00Z","timestamp":1778803200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the clinical outcomes after arthroscopic primary anterior cruciate ligament (ACL) repair, with and without lateral extra\u2010articular procedures, at a minimum of 2\u2009years follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective case series of prospectively collected data was conducted on patients operated between 2018 and 2023. Consecutive patients with acute proximal ACL tears underwent arthroscopic primary repair within 15\u2009days of injury when intraoperative reducibility and good tissue quality (Sherman I\u2010II) were confirmed. Patients with anterolateral lesions or high\u2010risk received a concomitant lateral extra\u2010articular procedure (anterolateral structure repair, Segond fixation, or Coker\u2010Arnold tenodesis). Outcomes included International Knee Documentation Committee subjective score, Lysholm score, Knee injury and Osteoarthritis Outcome Score, ACL\u2010return to sports after injury score, Forgotten Joint Score\u201012, Tegner, and side\u2010to\u2010side laxity; analyses assessed group comparisons and associations with failure and return to sport (RTS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 123 patients receiving ACL primary repair, 120 completed the 24\u2009months\u2010minimum follow\u2010up (mean 47.9\u2009\u00b1\u200912.8\u2009months; range 25\u201082). The overall failure rate was 10%. Among the 106 patients treated with combined ACL primary repair and a lateral extra\u2010articular procedure, 9 (8.5%) experienced failure. Patients who had ACL repair failure were significantly younger (mean age, 22.3 vs 32.9) and more active. RTS was achieved in 95.4% of patients excluding failures, with 79.6% returning to preinjury or higher Tegner activity scale levels. Successful RTS was associated with older age, lower side\u2010to\u2010side laxity, and higher ACL\u2010return to sports after injury and Knee injury and Osteoarthritis Outcome\u2010Sport scores. Regarding patient\u2010reported outcome measures, 69.6% achieved patient\u2010acceptable symptom state for International Knee Documentation Committee, 84.8% for ACL\u2010return to sports after injury, and 69.6% for Forgotten Joint Score\u201012. The mean side\u2010to\u2010side laxity was 1.6\u2009\u00b1\u20091.2\u2009mm. The secondary surgery rate (excluding failures) was 11.6%, with most involving contralateral ACL injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Arthroscopic primary ACL repair led to high RTS rates, 10% failure rate, and satisfactory patient\u2010reported outcome measures at a minimum 2\u2010year follow\u2010up. Outcomes were significantly influenced by age and activity level, with higher failure risk in younger and more active patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, retrospective case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/arj.70218","type":"journal-article","created":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T10:30:25Z","timestamp":1778841025000},"page":"1685-1695","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Primary Anterior Cruciate Ligament Repair for Acute Proximal Tears Shows High Return to Sport and a 10% Failure Rate at a Minimum 2\u2010Year Follow\u2010Up"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0700-8139","authenticated-orcid":false,"given":"Alessandro","family":"Carrozzo","sequence":"first","affiliation":[{"name":"Dipartimento di Scienze della Vit, della Salute e delle Professioni Sanitarie Universit\u00e0 degli Studi \u201cLink Campus University\u201d  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7339-5387","authenticated-orcid":false,"given":"Alessandro","family":"Annibaldi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology AOU Sant\u2019Andrea La Sapienza University of Rome  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rita","family":"Pucciatti","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology AOU Sant\u2019Andrea La Sapienza University of Rome  Rome 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