{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T15:03:27Z","timestamp":1775919807869,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,3,22]],"date-time":"2026-03-22T00:00:00Z","timestamp":1774137600000},"content-version":"vor","delay-in-days":80,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["esskajournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J. exp. orthop."],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate National Hockey League (NHL) player productivity and effectiveness following anterior cruciate ligament (ACL) reconstruction using advanced hockey statistics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      NHL players who underwent ACL reconstruction between 2008 and 2022 were identified using the NHL Injury Viz database. Players with multiligament injuries, reruptures, players who had complications requiring revision surgery within the study period, players without pre\u2010 or postinjury performance data, goaltenders and players who sustained another orthopaedic injury requiring surgical management during the study period were excluded. Demographic and outcome data for 1\u2010year preinjury and 2\u2010year postinjury were abstracted. The primary outcome was wins above replacement per 60\u2009min played (WAR\/60). Secondary outcomes were offensive and defensive goals above replacement per 60 (GAR\/60)\u2009min played. Controls were NHL players matched by position, draft year and index season performance. Pre\u2010 and postinjury outcomes were compared with paired\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests for normally distributed variables and the Wilcoxon signed rank test for nonnormally distributed variables.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Sixty\u2010one ACL ruptures were identified, of which 43 were eligible for inclusion. Preinjury, postinjury year 1 and postinjury year 2 WAR\/60 were 0.05, 0.02 and 0.03 in cases (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.03 compared to preinjury) and 0.04, 0.05 and 0.08 in controls (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.50,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.00,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.00 compared to cases). Preinjury, postinjury year 1 and postinjury year 2 offensive GAR\/60 were 0.24, 0.13 and 0.18 in cases (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.04,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.03 compared to preinjury) and 0.16, 0.27 and 0.37 in controls (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.83,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01 compared to controls). Preinjury, postinjury year 1 and postinjury year 2 defensive GAR\/60 were 0.04, \u22120.01 and 0.02 in cases (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.17,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.39 compared to preinjury) and \u22120.03, 0.01 and 0.03 in controls (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.08,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.60,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.89 compared to controls).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>ACL ruptures requiring surgical reconstruction are associated with significantly decreased performance in NHL players compared to preinjury and matched controls, driven by significantly decreased offensive performance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, therapeutic case\u2010control study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jeo2.70588","type":"journal-article","created":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T04:40:16Z","timestamp":1774240816000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Anterior cruciate ligament ruptures requiring surgical reconstruction are associated with decreased performance compared to matched controls in National Hockey League players"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9232-5544","authenticated-orcid":false,"given":"Emmitt","family":"Hayes","sequence":"first","affiliation":[{"name":"Division of Orthopaedic Surgery The University of Ottawa Ottawa Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pamela Garcia","family":"Pulido","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery The University of Ottawa Ottawa Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sasha","family":"Carsen","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery The University of Ottawa Ottawa Ontario Canada"},{"name":"Division of Orthopaedic Surgery Children's Hospital of Eastern Ontario Ottawa Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bogdan","family":"Matache","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery The University of Ottawa Ottawa Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Pickell","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery The University of Ottawa Ottawa Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,22]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1527002519897962"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsams.2022.10.005"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967120981649"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519836086"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967114548831"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.10.153"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671241304431"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0000000000000584"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0000000000000696"},{"issue":"3","key":"e_1_2_11_11_1","first-page":"e1","article-title":"Adjusted plus\u2010minus for NHL players using ridge regression with goals, shots, fenwick, and corsi","volume":"8","author":"Macdonald B","year":"2012","journal-title":"J Quantit Anal Sports"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517704834"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465241289142"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0282295"},{"key":"e_1_2_11_15_1","unstructured":"NHL Injury Viz.NHL injury database. 2025."},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518773080"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20190906-07"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515616802"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/ksa.12720"},{"key":"e_1_2_11_20_1","unstructured":"YounggrenJ YounggrenL.Wins above replacement: the process (part 2).2021. Available from:https:\/\/evolving-hockey.com\/blog\/wins-above-replacement-the-process-part-2\/"},{"key":"e_1_2_11_21_1","unstructured":"YounggrenJ YounggrenL.Wins above replacement: replacement level decisions results and final remarks (part 3). 2021. Available from:https:\/\/evolving-hockey.com\/blog\/wins-above-replacement-replacement-level-decisions-results-and-final-remarks-part-3\/"},{"key":"e_1_2_11_22_1","unstructured":"YounggrenJ YounggrenL.Wins above replacement: history philosophy and objectives (part 1). 2021. Available from:https:\/\/evolving-hockey.com\/blog\/wins-above-replacement-history-philosophy-and-objectives-part-1\/"},{"key":"e_1_2_11_23_1","unstructured":"YounggrenJ YounggrenL.Reviving regularized adjusted plus\u2010minus for hockey. 2021. Available from:https:\/\/evolving-hockey.com\/blog\/reviving-regularized-adjusted-plus-minus-for-hockey\/"}],"container-title":["Journal of Experimental Orthopaedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jeo2.70588","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jeo2.70588","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jeo2.70588","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T14:29:46Z","timestamp":1775917786000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1002\/jeo2.70588"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":22,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1002\/jeo2.70588"],"URL":"https:\/\/doi.org\/10.1002\/jeo2.70588","archive":["Portico"],"relation":{},"ISSN":["2197-1153","2197-1153"],"issn-type":[{"value":"2197-1153","type":"print"},{"value":"2197-1153","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-10-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70588"}}