{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T02:15:33Z","timestamp":1789611333625,"version":"build-2803163510"},"reference-count":50,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,2,13]],"date-time":"2021-02-13T00:00:00Z","timestamp":1613174400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,2,13]],"date-time":"2021-02-13T00:00:00Z","timestamp":1613174400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,2,13]],"date-time":"2021-02-13T00:00:00Z","timestamp":1613174400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>An enhanced understanding of anterior cruciate ligament (ACL) healing and advancements in arthroscopic instrumentation has resulted in a renewed interest in ACL repair. Augmentation of a ligament repair with suture tape reinforces the ligament and acts as a secondary stabilizer. This study assesses the 5\u2010year patient\u2010reported outcomes of primary repair with suture tape augmentation for proximal ACL tears.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thirty\u2010seven consecutive patients undergoing ACL repair with suture tape augmentation for an acute proximal rupture were prospectively followed up for a minimum of 5 years. Patients with midsubstance and distal ruptures, poor ACL tissue quality, retracted ACL remnants and multiligament injuries were excluded. Patient\u2010reported outcome measures were collated using the Knee Injury and Osteoarthritis Outcomes Score (KOOS), Visual Analogue Pain Scale (VAS\u2010pain), Veterans RAND 12\u2010Item Health Survey (VR\u201012) and the Marx Activity Scale. Patients with a re\u2010rupture were identified.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three patients were lost to follow\u2010up leaving 34 patients in the final analysis (91.9%). The mean KOOS at 5 years was 88.5 (SD 13.8) which improved significantly from 48.7 (SD 18.3) preoperatively (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01). The VAS score improved from 2.3 (SD 1.7) to 1.0 (SD 1.5) and the VR\u201012 score improved from 35.9 (SD 10.3) to 52.4 (SD 5.9) at 5 years (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01). However, the Marx activity scale decreased from 12.4 (SD 3.4) pre\u2010injury to 7.3 (SD 5.2) at 5 years (<jats:italic>p<\/jats:italic>\u2009=\u20090.02). Six patients had a re\u2010rupture (17.6%) and have since undergone a conventional ACL reconstruction for their revision surgery with no issues since then. These patients were found to be younger and have higher initial Marx activity scores than the rest of the cohort (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Primary repair with suture tape augmentation for proximal ACL tears demonstrates satisfactory outcomes in 28 patients (82.4%) at 5\u2010year follow\u2010up. Six patients sustained a re\u2010rupture and have no ongoing problems following treatment with a conventional ACL reconstruction. These patients were significantly younger and had higher initial Marx activity scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Level IV.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-021-06485-z","type":"journal-article","created":{"date-parts":[[2021,2,14]],"date-time":"2021-02-14T08:43:58Z","timestamp":1613292238000},"page":"253-259","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":40,"title":["Satisfactory patient\u2010reported outcomes at 5 years following primary repair with suture tape augmentation for proximal anterior cruciate ligament tears"],"prefix":"10.1002","volume":"30","author":[{"given":"Graeme P.","family":"Hopper","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> College of Medical, Veterinary and Life Sciences University of Glasgow University Avenue G12 8QQ Glasgow Scotland, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanna M. 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