{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T17:58:32Z","timestamp":1785347912429,"version":"3.55.0"},"reference-count":33,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T00:00:00Z","timestamp":1756771200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T00:00:00Z","timestamp":1756771200000},"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":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare functional outcomes and postural stability in patients undergoing primary anterior cruciate ligament (ACL) repair or hamstring tendon reconstruction, using healthy individuals as a reference. We hypothesized that primary ACL repair would result in superior subjective knee function and postural stability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This comparative case\u2013control study assessed pain, function, single\u2010leg hop performance and postural stability were assessed using the Visual Analogue Scale (VAS), Lysholm Knee Score, International Knee Documentation Committee (IKDC) Score and Biodex Biosway indices (OSI: overall stability index, API: anteroposterior index, MLI: mediolateral index) in bipedal and single\u2010leg stance. Statistical analyses included one\u2010way analysis of variance (ANOVA) or Kruskal\u2013Wallis tests for group comparisons, with paired\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests or Wilcoxon signed\u2010rank tests for within\u2010group comparisons, depending on data distribution.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 113 participants were analyzed: primary repair (primary repair group [PRG],\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200940), reconstruction (reconstruction group [RG],\n                      <jats:italic>n\u2009<\/jats:italic>\n                      =\u200938), and control (control group [CG],\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200935) groups. Mean follow\u2010up was 43.2\u2009\u00b1\u200910.1 months in PRG and 43.9\u2009\u00b1\u200911.7 months in RG. VAS scores were 1.37\u2009\u00b1\u20091.56 in PRG and 1.89\u2009\u00b1\u20091.62 in RG (mean difference [MD]\u2009=\u20090.51, 95% confidence interval [CI]: \u22120.19 to 1.23,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.15). Lysholm scores were 92.6\u2009\u00b1\u20096.95 in PRG and 89.5\u2009\u00b1\u20099.09 in RG (MD\u2009=\u2009\u22123.02, 95% CI: \u22126.66 to 0.61,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.10). IKDC scores were significantly higher in PRG (88.2\u2009\u00b1\u20099.01) than RG (82.6\u2009\u00b1\u200912.1) (MD\u2009=\u20095.63, 95% CI: 0.84 to 10.42,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02). On the operated side, MLI was lower in PRG (0.2\u2009\u00b1\u20090.3) than RG (0.3\u2009\u00b1\u20090.2) (MD\u2009=\u2009\u22120.05, 95% CI: 0.008 to 0.11,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02), indicating better mediolateral stability. Single\u2010leg hop distance was shorter in RG (1.40\u2009\u00b1\u20090.28\u2009m) and PRG (1.43\u2009\u00b1\u20090.27\u2009m) compared with CG (1.62\u2009\u00b1\u20090.18\u2009m) (CG vs. RG: MD\u2009=\u20090.22, 95% CI: 0.07 to 0.36; CG vs. PRG: MD\u2009=\u20090.18, 95% CI: 0.03 to 0.33;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001), despite LSI values exceeding 90% (RG: 93.1\u2009\u00b1\u20098.5%; PRG: 95.1\u2009\u00b1\u20096.3%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Primary anterior cruciate ligament repair provides comparable functional and postural outcomes to reconstruction and may offer superior subjective knee function and mediolateral balance in selected patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ksa.70050","type":"journal-article","created":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T14:24:48Z","timestamp":1756823088000},"page":"2756-2765","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Primary repair versus reconstruction of the anterior cruciate ligament: Functional outcomes and postural stability compared with healthy controls"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7883-9445","authenticated-orcid":false,"given":"Murat","family":"\u00c7i\u00e7eklida\u011f","sequence":"first","affiliation":[{"name":"Ankara Y\u0131ld\u0131r\u0131m Beyaz\u0131t University Yenimahalle Training and Research Hospital Ankara 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