{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T17:19:13Z","timestamp":1790011153842,"version":"4.0.1"},"reference-count":37,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000},"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."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To determine whether anterior cruciate ligament (ACL) tear type and injury chronicity influence preoperative instrumented anterior tibial translation side\u2010to\u2010side difference (ATT\u2010SSD) in patients undergoing primary ACL surgery, and, as a secondary aim, to evaluate the association between concomitant meniscal tears and ATT\u2010SSD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective single\u2010surgeon study included 521 patients who underwent surgery for ACL injury between October 2019 and January 2026. Preoperative ATT\u2010SSD was measured using a Lachmeter\u00ae digital arthrometer, and ACL tears were classified arthroscopically according to the modified Sherman classification. Injuries were categorized by time to first visit as acute (&lt;28 days), subacute (28\u201390 days) or chronic (&gt;90 days). Associations between tear type, chronicity, meniscal repair and ATT\u2010SSD were assessed using analysis of variance, subgroup comparisons, interaction analysis and multivariable linear regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      ATT\u2010SSD differed across tear\u2010type groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.006), with Types III\u2013V tears demonstrating a 0.5\u2010mm greater mean ATT\u2010SSD than Type I tears (p\u2009=\u20090.004), while Type II tears did not differ significantly from either group. Acute injuries showed greater ATT\u2010SSD than subacute and chronic injuries (4.6\u2009\u00b1\u20091.5 vs. 4.2\u2009\u00b1\u20091.5 and 4.0\u2009\u00b1\u20091.5\u2009mm;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.005). The tear type\u2009\u00d7\u2009chronicity interaction was not significant (\n                      <jats:italic>B<\/jats:italic>\n                      \u2009=\u20090.019,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.951). ATT\u2010SSD was higher in patients undergoing medial meniscus repair. In multivariable regression, only chronicity remained independently associated with ATT\u2010SSD (\n                      <jats:italic>B<\/jats:italic>\n                      \u2009=\u2009\u22120.205,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.032), whereas ACL tear location was not independently associated with ATT\u2010SSD.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Mean ATT\u2010SSD remained above the clinically meaningful threshold of \u22653\u2009mm across all ACL tear types. Although small differences in ATT\u2010SSD were observed according to tear location and early\u2010to\u2010intermediate injury chronicity in unadjusted analyses, only chronicity remained independently associated with ATT\u2010SSD after adjustment. These findings suggest that ACL tear location alone should not be seen as a clinical predictor of anterior sagittal knee stability after ACL injury.<\/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\/ksa.70615","type":"journal-article","created":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T16:58:58Z","timestamp":1790009938000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Anterior tibial translation in anterior cruciate ligament\u2010deficient knees is increased regardless of tear location and independently associated with early\u2010to\u2010intermediate injury chronicity"],"prefix":"10.1002","author":[{"given":"Valentin","family":"Hingsamer","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Hospital for Special Surgery, NewYork\u2010Presbyterian, Weill Medical College of Cornell University New York New York USA"},{"name":"Division of Trauma Surgery, Department of Orthopedics and Trauma\u2010Surgery Medical University of Vienna Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5328-4103","authenticated-orcid":false,"given":"Christian","family":"Arras","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hospital for Special Surgery, NewYork\u2010Presbyterian, Weill Medical College of Cornell University New York New York USA"},{"name":"Department of Trauma and Orthopaedic Surgery University Medical Center Hamburg\u2010Eppendorf Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maximilian M.","family":"Mueller","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hospital for Special Surgery, NewYork\u2010Presbyterian, Weill Medical College of Cornell University New York New York USA"},{"name":"Department of Trauma Surgery Orthopaedics and Sports Traumatology, BG Klinikum Hamburg Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gioia","family":"Nash","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hospital for Special Surgery, NewYork\u2010Presbyterian, Weill Medical College of Cornell University New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9559-757X","authenticated-orcid":false,"given":"Gregory S.","family":"DiFelice","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hospital for Special Surgery, NewYork\u2010Presbyterian, Weill Medical College of Cornell University New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,21]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"crossref","first-page":"2187","DOI":"10.1177\/0363546511416597","article-title":"Longitudinal tear of the medial meniscus posterior horn in the anterior cruciate ligament\u2010deficient knee significantly influences anterior stability","volume":"39","author":"Ahn JH","year":"2011","journal-title":"Am J Sports Med"},{"key":"e_1_2_12_3_1","doi-asserted-by":"crossref","first-page":"2242","DOI":"10.1177\/0363546513508376","article-title":"Anterior cruciate ligament injury and radiologic progression of knee osteoarthritis: a systematic review and meta\u2010analysis","volume":"42","author":"Ajuied A","year":"2014","journal-title":"Am J Sports Med"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ksa.70454"},{"key":"e_1_2_12_5_1","doi-asserted-by":"crossref","first-page":"4291","DOI":"10.1007\/s00402-022-04701-0","article-title":"Spontaneous healing of acute ACL ruptures: rate, prognostic factors and short\u2010term outcome","volume":"143","author":"Blanke F","year":"2023","journal-title":"Arch Orthop Trauma Surg"},{"key":"e_1_2_12_6_1","doi-asserted-by":"crossref","first-page":"2011","DOI":"10.1177\/0363546517730072","article-title":"High rates of osteoarthritis develop after anterior cruciate ligament surgery: an analysis of 4108 patients","volume":"46","author":"Cinque ME","year":"2018","journal-title":"Am J Sports Med"},{"key":"e_1_2_12_7_1","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/j.arthro.2004.09.015","article-title":"Variation in anterior cruciate ligament scar pattern: does the scar pattern affect anterior laxity in anterior cruciate ligament\u2010deficient knees?","volume":"21","author":"Crain EH","year":"2005","journal-title":"Arthroscopy"},{"key":"e_1_2_12_8_1","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1177\/036354658501300607","article-title":"Instrumented measurement of anterior knee laxity in patients with acute anterior cruciate ligament disruption","volume":"13","author":"Daniel DM","year":"1985","journal-title":"Am J Sports Med"},{"key":"e_1_2_12_9_1","doi-asserted-by":"crossref","first-page":"564","DOI":"10.1007\/s00167-018-5180-3","article-title":"Preoperative laxity in ACL\u2010deficient knees increases with posterior tibial slope and medial meniscal tears","volume":"27","author":"Dejour D","year":"2019","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"e_1_2_12_10_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.otsr.2021.103039","article-title":"Anterior cruciate ligament reconstruction in the over\u201050s. A prospective comparative study between surgical and functional treatment","volume":"107","author":"Ehlinger M","year":"2021","journal-title":"Orthop Traumatol Surg Res"},{"key":"e_1_2_12_11_1","unstructured":"Evans J Mabrouk A Nielson JL. Anterior cruciate ligament knee injury.StatPearls. Treasure Island (FL): StatPearls Publishing; 2026."},{"key":"e_1_2_12_12_1","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1007\/s001670050008","article-title":"The rolimeter: a new arthrometer compared with the KT\u20101000","volume":"8","author":"Ganko A","year":"2000","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"e_1_2_12_13_1","doi-asserted-by":"crossref","first-page":"2653","DOI":"10.1007\/s00167-018-5293-8","article-title":"The detached stump of the torn anterior cruciate ligament adheres to the femoral notch wall and then to the posterior cruciate ligament within 6 months from injury","volume":"27","author":"Haviv B","year":"2019","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"e_1_2_12_14_1","doi-asserted-by":"crossref","DOI":"10.1177\/23259671251324186","article-title":"The association between concomitant meniscal tear, tibial slope, static knee position, and anterior knee laxity in ACL\u2010deficient patients","volume":"13","author":"Huang TC","year":"2025","journal-title":"Orthop J Sports Med"},{"key":"e_1_2_12_15_1","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1007\/s12306-018-0572-6","article-title":"Passive anterior tibia translation in anterior cruciate ligament\u2010injured, anterior cruciate ligament\u2010reconstructed and healthy knees: a systematic review","volume":"103","author":"Keizer MNJ","year":"2019","journal-title":"Musculoskelet Surg"},{"key":"e_1_2_12_16_1","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1186\/s40634-022-00486-8","article-title":"Differential regional perfusion of the human anterior cruciate ligament: quantitative magnetic resonance imaging assessment","volume":"9","author":"Lin KM","year":"2022","journal-title":"J Exp Orthop"},{"key":"e_1_2_12_17_1","doi-asserted-by":"crossref","first-page":"1756","DOI":"10.1177\/0363546507307396","article-title":"The long\u2010term consequence of anterior cruciate ligament and meniscus injuries","volume":"35","author":"Lohmander LS","year":"2007","journal-title":"Am J Sports Med"},{"key":"e_1_2_12_18_1","doi-asserted-by":"crossref","first-page":"1691","DOI":"10.1007\/s00167-021-06719-0","article-title":"Side\u2010to\u2010side anterior tibial translation on monopodal weightbearing radiographs as a sign of knee decompensation in ACL\u2010deficient knees","volume":"30","author":"Macchiarola L","year":"2022","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"e_1_2_12_19_1","doi-asserted-by":"crossref","first-page":"174","DOI":"10.3390\/jfmk10020174","article-title":"The incidence of sport\u2010related anterior cruciate ligament injuries: an overview of systematic reviews including 51 meta\u2010analyses","volume":"10","author":"Martinez\u2010Calderon J","year":"2025","journal-title":"J Funct Morphol Kinesiol"},{"key":"e_1_2_12_20_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_12_21_1","doi-asserted-by":"crossref","first-page":"1193","DOI":"10.1016\/j.arthro.2005.07.008","article-title":"Anterior tibial subluxation in anterior cruciate ligament\u2010deficient knees: quantification using magnetic resonance imaging","volume":"21","author":"Mishima S","year":"2005","journal-title":"Arthroscopy"},{"key":"e_1_2_12_22_1","doi-asserted-by":"crossref","first-page":"1591","DOI":"10.1177\/0363546510364402","article-title":"The effect of medial versus lateral meniscectomy on the stability of the anterior cruciate ligament\u2010deficient knee","volume":"38","author":"Musahl V","year":"2010","journal-title":"Am J Sports Med"},{"key":"e_1_2_12_23_1","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1177\/0363546516669344","article-title":"Does the chronicity of anterior cruciate ligament ruptures influence patient\u2010reported outcomes before surgery?","volume":"45","author":"Nguyen JT","year":"2017","journal-title":"Am J Sports Med"},{"key":"e_1_2_12_24_1","doi-asserted-by":"crossref","DOI":"10.1177\/2309499019833606","article-title":"Analysis of anterior tibial subluxation to the femur at maximum extension in anterior cruciate ligament\u2010deficient knees","volume":"27","author":"Nishida K","year":"2019","journal-title":"J Orthop Surg"},{"key":"e_1_2_12_25_1","doi-asserted-by":"crossref","DOI":"10.1002\/jeo2.70251","article-title":"Digital hand\u2010held arthrometry is a reliable and accurate adjunct for diagnosing acute anterior cruciate ligament tears","volume":"12","author":"Norris R","year":"2025","journal-title":"J Exp Orthop"},{"key":"e_1_2_12_26_1","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1007\/BF01552161","article-title":"Diagnosis of an ACL disruption with KT\u20101000 arthrometer measurements","volume":"1","author":"Rangger C","year":"1993","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"e_1_2_12_27_1","doi-asserted-by":"crossref","first-page":"e879","DOI":"10.1016\/j.eats.2023.02.022","article-title":"Anatomic arthroscopic primary repair of proximal anterior cruciate ligament tears","volume":"12","author":"Rilk S","year":"2023","journal-title":"Arthrosc Tech"},{"key":"e_1_2_12_28_1","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1016\/j.jisako.2023.08.008","article-title":"Primary anterior cruciate ligament repair: current concepts","volume":"8","author":"Robinson JD","year":"2023","journal-title":"J ISAKOS"},{"key":"e_1_2_12_29_1","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1016\/j.otsr.2019.10.025","article-title":"Risk factors for passive anterior tibial subluxation on MRI in complete ACL tear","volume":"106","author":"Sigonney G","year":"2020","journal-title":"Orthop Traumatol Surg Res"},{"key":"e_1_2_12_30_1","doi-asserted-by":"crossref","DOI":"10.1177\/23259671251397389","article-title":"Limited agreement on ACL tear location between arthroscopy and MRI: a prospective evaluation","volume":"13","author":"Silverman R","year":"2025","journal-title":"Orthop J Sports Med"},{"key":"e_1_2_12_31_1","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1177\/0363546515617454","article-title":"Posteromedial meniscocapsular lesions increase tibiofemoral joint laxity with anterior cruciate ligament deficiency, and their repair reduces laxity","volume":"44","author":"Stephen JM","year":"2016","journal-title":"Am J Sports Med"},{"key":"e_1_2_12_32_1","doi-asserted-by":"crossref","DOI":"10.1177\/2325967117750813","article-title":"Chronicity of anterior cruciate ligament deficiency, part 1: effects on the tibiofemoral relationship before and immediately after anatomic ACL reconstruction with autologous hamstring grafts","volume":"6","author":"Tanaka Y","year":"2018","journal-title":"Orthop J Sports Med"},{"key":"e_1_2_12_33_1","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1007\/s00167-003-0398-z","article-title":"Analysis of meniscal and chondral lesions accompanying anterior cruciate ligament tears: relationship with age, time from injury, and level of sport","volume":"12","author":"Tandogan RN","year":"2004","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"e_1_2_12_34_1","first-page":"E393","article-title":"Preservation of the anterior cruciate ligament: a treatment algorithm based on tear location and tissue quality","volume":"45","author":"List JP","year":"2016","journal-title":"Am J Orthop (Belle Mead NJ)"},{"key":"e_1_2_12_35_1","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1016\/j.surge.2016.09.006","article-title":"Primary repair of the anterior cruciate ligament: a paradigm shift","volume":"15","author":"List JP","year":"2017","journal-title":"Surgeon"},{"key":"e_1_2_12_36_1","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1016\/j.knee.2021.01.027","article-title":"Age, activity level and meniscus injury, but not tear location, tibial slope or anterolateral ligament injury predict coping with anterior cruciate ligament injury","volume":"29","author":"List JP","year":"2021","journal-title":"Knee"},{"key":"e_1_2_12_37_1","doi-asserted-by":"crossref","DOI":"10.1177\/2325967117709966","article-title":"The location of anterior cruciate ligament tears: a prevalence study using magnetic resonance imaging","volume":"5","author":"List JP","year":"2017","journal-title":"Orthop J Sports Med"},{"key":"e_1_2_12_38_1","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1136\/ard.2003.008136","article-title":"High prevalence of osteoarthritis 14 years after an anterior cruciate ligament tear in male soccer players: a study of radiographic and patient relevant outcomes","volume":"63","author":"Porat A","year":"2004","journal-title":"Ann Rheum Dis"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ksa.70615","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ksa.70615","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ksa.70615","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T16:59:03Z","timestamp":1790009943000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1002\/ksa.70615"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,21]]},"references-count":37,"alternative-id":["10.1002\/ksa.70615"],"URL":"https:\/\/doi.org\/10.1002\/ksa.70615","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,21]]},"assertion":[{"value":"2026-06-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"ksa.70615"}}