{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T03:03:05Z","timestamp":1789700585603,"version":"4.0.1"},"reference-count":40,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100009399","name":"Peking University Third Hospital","doi-asserted-by":"publisher","award":["Grant No. BYSYZD2024001"],"award-info":[{"award-number":["Grant No. BYSYZD2024001"]}],"id":[{"id":"10.13039\/501100009399","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare clinical outcomes of suture\u2010augmented revision anterior cruciate ligament reconstruction (arACLR) and isolated revision anterior cruciate ligament reconstruction (irACLR) using all\u2010soft\u2010tissue grafts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Consecutive patients with clinically diagnosed anterior cruciate ligament reconstruction graft failure at a single institution between January 2020 and January 2023 were retrospectively analyzed. Patients who underwent revision anterior cruciate ligament reconstruction using all\u2010soft\u2010tissue grafts with a minimum 2\u2010year follow\u2010up were included and divided into the irACLR and arACLR groups based on whether suture augmentation was used. Multivariate regression models with inverse probability of treatment weighting were used to compare the treatment modalities with the primary outcome (patient\u2010reported outcome measures) and the secondary outcomes (graft failure, contralateral injury, arthrofibrosis, hardware irritation, return to sport, and satisfaction). Exploratory analyses were performed on passive anterior tibial subluxation (PATS) measured on pre\u2010 and postoperative magnetic resonance imaging.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 47 patients in the arACLR group and 57 patients in the irACLR group were included. The baseline characteristics were well balanced between the groups after inverse probability of treatment weighting, with no difference in surgical characteristics. In the inverse probability of treatment weighting model, arACLR was associated with a higher postoperative Tegner score compared with irACLR (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      , 0.64 [95% confidence interval, 0.06\u20101.22],\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.031), with no significant difference in Lysholm or International Knee Documentation Committee subjective scores (all\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&gt;\u2009.05). A higher percentage of patients in the arACLR group met the minimal clinically important difference for the Tegner score as compared with the irACLR group (39\/47 vs 34\/57,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.018). arACLR showed a decreased graft failure rate (odds ratio, 0.20 [95% confidence interval, 0.05\u20100.65],\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.006) and increased return to sport rate (odds ratio, 3.85 [95% confidence interval, 2.09\u20107.29],\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001) compared with irACLR, with no significant difference in the rate of contralateral injury, arthrofibrosis, hardware irritation, and satisfaction (all\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&gt;\u2009.05). Exploratory analyses showed significantly lower postoperative lateral PATS (4.2\u2009\u00b1\u20093.0 vs 8.3\u2009\u00b1\u20092.9\u2009mm,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001), medial PATS (2.4\u2009\u00b1\u20092.2 vs 4.7\u2009\u00b1\u20092.4\u2009mm,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001), and rotational PATS (1.8\u2009\u00b1\u20092.3 vs 3.6\u2009\u00b1\u20092.4\u2009mm,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.002) in the arACLR compared with the irACLR group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>arACLR was associated with improved postoperative Tegner score, reduced graft failure rate, and increased return to sport rate compared with irACLR with similar complication and patient satisfaction rate at a minimum of 2\u2010year follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/arj.70539","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T02:19:46Z","timestamp":1789697986000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Improved Activity, Return to Sport, and Graft Survivorship With Suture\u2010Augmented Versus Isolated Revision Anterior Cruciate Ligament Reconstruction Using All\u2010Soft\u2010Tissue Grafts"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0979-798X","authenticated-orcid":false,"given":"Yi\u2010tian","family":"Gao","sequence":"first","affiliation":[{"name":"Department of Sports 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Sports Injuries  Beijing China"},{"name":"Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao\u2010quan","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Peking University Third Hospital  Beijing China"},{"name":"Beijing Key Laboratory of Sports Injuries  Beijing China"},{"name":"Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Peking University Third Hospital  Beijing China"},{"name":"Beijing Key Laboratory of Sports Injuries  Beijing China"},{"name":"Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ping","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Peking University Third Hospital  Beijing China"},{"name":"Beijing Key Laboratory of Sports Injuries  Beijing China"},{"name":"Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jian","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Peking University Third Hospital  Beijing China"},{"name":"Beijing Key Laboratory of Sports Injuries  Beijing China"},{"name":"Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9305-6158","authenticated-orcid":false,"given":"Cheng","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Peking University Third Hospital  Beijing China"},{"name":"Beijing Key Laboratory of Sports Injuries  Beijing China"},{"name":"Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-3056-0937","authenticated-orcid":false,"given":"Wei\u2010li","family":"Shi","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Peking University Third Hospital  Beijing China"},{"name":"Beijing Key Laboratory of Sports Injuries  Beijing China"},{"name":"Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0504-7169","authenticated-orcid":false,"given":"Jian\u2010quan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Peking University Third Hospital  Beijing China"},{"name":"Beijing Key Laboratory of Sports Injuries  Beijing China"},{"name":"Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,17]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"crossref","first-page":"1502","DOI":"10.1177\/0363546516629944","article-title":"Incidence of anterior cruciate ligament tears and reconstruction: A 21\u2010year population\u2010based study","volume":"44","author":"Sanders TL","year":"2016","journal-title":"Am J Sports 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A meta\u2010analysis comparing patient\u2010reported and clinician\u2010reported outcomes, and radiographic results","volume":"50","author":"Grassi A","year":"2016","journal-title":"Br J Sports Med."},{"key":"e_1_2_9_5_1","doi-asserted-by":"crossref","first-page":"531","DOI":"10.2106\/JBJS.K.00733","article-title":"Outcome of revision anterior cruciate ligament reconstruction: A systematic review","volume":"94","author":"Wright RW","year":"2012","journal-title":"J Bone Joint Surg Am."},{"key":"e_1_2_9_6_1","doi-asserted-by":"crossref","first-page":"2461","DOI":"10.1007\/s00167-022-07200-2","article-title":"Revision ACL reconstruction using quadriceps, hamstring and patellar tendon autografts leads to similar functional outcomes but hamstring graft has a higher tendency of graft failure","volume":"31","author":"Meena A","year":"2023","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"key":"e_1_2_9_7_1","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1002\/ksa.12366","article-title":"Hamstring autografts demonstrate either similar or inferior outcomes to quadriceps or bone\u2013patellar tendon\u2013bone autografts in revision anterior cruciate ligament reconstruction: A systematic review of comparative studies","volume":"33","author":"Vivekanantha P","year":"2025","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"key":"e_1_2_9_8_1","doi-asserted-by":"crossref","first-page":"1537","DOI":"10.1177\/0363546516688673","article-title":"Passive anterior tibial subluxation in the setting of anterior cruciate ligament injuries: A comparative analysis of ligament\u2010deficient states","volume":"45","author":"McDonald LS","year":"2017","journal-title":"Am J Sports Med."},{"key":"e_1_2_9_9_1","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1177\/0363546518823544","article-title":"Steep posterior tibial slope, anterior tibial subluxation, deep posterior lateral femoral condyle, and meniscal deficiency are common findings in multiple anterior cruciate ligament failures: An MRI case\u2010control study","volume":"47","author":"Grassi A","year":"2019","journal-title":"Am J Sports Med."},{"key":"e_1_2_9_10_1","doi-asserted-by":"crossref","first-page":"2347","DOI":"10.1177\/0363546513498995","article-title":"Passive anterior tibial subluxation in anterior cruciate ligament\u2010deficient knees","volume":"41","author":"Tanaka MJ","year":"2013","journal-title":"Am J Sports Med."},{"key":"e_1_2_9_11_1","doi-asserted-by":"crossref","first-page":"2799","DOI":"10.1002\/ksa.12537","article-title":"Association of suture augmentation with graft failure and clinical outcomes following anterior cruciate ligament reconstruction: A systematic review and meta\u2010analysis of comparative studies with a minimum 2\u2010year follow\u2010up","volume":"33","author":"Gao Y","year":"2025","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"key":"e_1_2_9_12_1","doi-asserted-by":"crossref","first-page":"2494","DOI":"10.1016\/j.arthro.2024.01.026","article-title":"Insufficient evidence for anterior cruciate ligament reconstruction utilizing suture tape augmentation: A systematic review of clinical outcomes at minimum 1\u2010year follow\u2010up","volume":"40","author":"Dhillon J","year":"2024","journal-title":"Arthroscopy."},{"key":"e_1_2_9_13_1","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1016\/j.arthro.2017.10.037","article-title":"Independent suture tape reinforcement of small and standard diameter grafts for anterior cruciate ligament reconstruction: A biomechanical full construct model","volume":"34","author":"Bachmaier S","year":"2018","journal-title":"Arthroscopy."},{"key":"e_1_2_9_14_1","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1016\/j.arthro.2021.09.032","article-title":"Independent suture augmentation with all\u2010inside anterior cruciate ligament reconstruction reduces peak loads on soft\u2010tissue graft. A biomechanical full\u2010construct study","volume":"38","author":"Bachmaier S","year":"2022","journal-title":"Arthroscopy."},{"key":"e_1_2_9_15_1","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1055\/s-0038-1655765","article-title":"Intra\u2010articular biocompatibility of multistranded, long\u2010chain polyethylene suture tape in a canine acl model","volume":"32","author":"Smith PA","year":"2019","journal-title":"J Knee Surg."},{"key":"e_1_2_9_16_1","doi-asserted-by":"crossref","first-page":"1014","DOI":"10.1016\/j.arthro.2022.10.049","article-title":"Suture augmentation does not change biomechanical properties and histological remodeling of tendon graft in anterior cruciate ligament reconstruction: A study in a porcine model","volume":"39","author":"Iwaasa T","year":"2023","journal-title":"Arthroscopy."},{"key":"e_1_2_9_17_1","doi-asserted-by":"crossref","first-page":"1238","DOI":"10.1302\/0301-620X.101B10.BJJ-2018-1282.R2","article-title":"In vivo assessment of high\u2010molecular\u2010weight polyethylene core suture tape for intra\u2010articular ligament reconstruction: an animal study","volume":"101","author":"Soreide E","year":"2019","journal-title":"Bone Joint J."},{"key":"e_1_2_9_18_1","doi-asserted-by":"crossref","first-page":"3658","DOI":"10.1177\/03635465231207623","article-title":"Outcomes of anterior cruciate ligament reconstruction with independently tensioned suture tape augmentation at 5\u2010year follow\u2010up","volume":"51","author":"Wilson WT","year":"2023","journal-title":"Am J Sports Med."},{"key":"e_1_2_9_19_1","doi-asserted-by":"crossref","first-page":"2455","DOI":"10.1016\/j.arthro.2024.01.019","article-title":"Less subsequent revision anterior cruciate ligament reconstruction following primary bone\u2010patellar tendon\u2010bone anterior cruciate ligament reconstruction with suture tape augmentation\u2010a retrospective comparative therapeutic trial with 5\u2010year follow\u2010up","volume":"40","author":"Daniel 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