{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T16:08:47Z","timestamp":1790698127902,"version":"4.1.0"},"reference-count":40,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T00:00:00Z","timestamp":1761523200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T00:00:00Z","timestamp":1761523200000},"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":[[2026,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study was to evaluate the clinical outcomes of acute anterior cruciate ligament reconstruction (ACLR) performed within 14 days of injury with a minimum follow\u2010up of 2 years. The hypothesis was that early ACLR would result in favourable clinical outcomes without a significant increase in complications. The secondary aim was to identify predictors of graft failure and complications, with the hypothesis that younger age and higher activity level would be associated with increased risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective analysis was performed on patients who underwent ACLR within 14 days at a single institution. Potential risk factors for graft rupture and other post\u2010operative complications were analyzed. Knee stability was assessed using KT\u20101000 and pivot shift test, and range of motion (ROM) with a goniometer. Patient\u2010reported outcome measures (PROMs), including IKDC (International Knee Documentation Committee), Lysholm, Tegner activity scale and KOOS (Knee injury and Osteoarthritis Outcome Score), were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The final population consisted of 203 patients. At a mean follow\u2010up of 53.4 months (range: 24\u201385), the graft rupture rate was 1.9%. Age 20 years or younger was the only significant risk factor for graft rupture (odds ratio\u2009=\u20096.02,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.013). Post\u2010operative negative pivot shift was achieved in 93.6%. The mean post\u2010operative KOOS was 91.7\u2009\u00b1\u20098.8, the mean IKDC score was 88.1\u2009\u00b1\u200913.4, and the mean Lysholm score was 93.2\u2009\u00b1\u20099.9. In addition, 75% of patients returned to their pre\u2010injury level of sports activity or higher. The mean loss of side\u2010to\u2010side extension was 1.3\u00b0, and flexion was 4.6\u00b0. The overall complication rate was 10.2%, with an incidence of post\u2010operative stiffness requiring re\u2010intervention of 1.5% and a 3.4% incidence of septic arthritis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Early ACLR resulted in favourable clinical outcomes, including high rates of return to sport, minimal ROM deficits, and high PROM scores, with a low graft failure rate (1.9%), despite a 3.4% incidence of septic arthritis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV.<\/jats:p>\n                  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