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Multivariable regression models were developed to identify statistically and clinically significant surgical and demographic predictors of Knee Injury and Osteoarthritis Outcome Score (KOOS), International Knee Documentation Committee Subjective Knee Form (IKDC), ACL Quality of Life Questionnaire (ACL\u2010QOL) and Marx Activity Rating Scale (MARS) scores. Chi\u2010Square tests of independence were used to explore the association between meniscal status (torn, not torn), meniscal treatment (excision or repair), graft rupture, and rotatory knee laxity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Medial meniscus repair was associated with worse outcomes on the KOOS (<jats:italic>\u03b2<\/jats:italic>\u2009=\u2009\u22121.32, 95% CI: \u22121.57 to \u22121.10, <jats:italic>p<\/jats:italic>\u2009=\u20090.003), IKDC (<jats:italic>\u03b2<\/jats:italic>\u2009=\u2009\u22121.66, 95% CI: \u22121.53 to \u22121.02, <jats:italic>p<\/jats:italic>\u2009=\u20090.031) and ACL\u2010QOL (<jats:italic>\u03b2<\/jats:italic>\u2009=\u2009\u22121.25, 95% CI: \u22121.61 to 1.02, <jats:italic>p<\/jats:italic>\u2009=\u2009n.s.). However, these associations indicated small, clinically insignificant changes based on reported measures of clinical relevance. Other important predictors of post\u2010operative PROMs included age, sex, and baseline scores. Medial meniscus excision and lateral meniscus treatment (repair or excision) did not have an important influence on PROMs. There was no significant association between meniscal treatment and graft rupture or rotatory knee laxity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>While repairing the medial meniscus may result in a small reduction in PROM scores at two\u2010year follow\u2010up, these differences are not likely to be important to patients or clinicians. Any surgical morbidity associated with meniscal repair appears negligible in terms of PROMs. Meniscal repair does not affect rotatory laxity or graft failure rates in the short term. Therefore, meniscal repair should likely be maintained as the standard of care for concomitant meniscal tears with ACLR.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>III.\n<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-022-06962-z","type":"journal-article","created":{"date-parts":[[2022,4,22]],"date-time":"2022-04-22T02:03:10Z","timestamp":1650592990000},"page":"3689-3699","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Meniscal repair at the time of primary ACLR does not negatively influence short term knee stability, graft rupture rates, or patient\u2010reported outcome measures: the STABILITY experience"],"prefix":"10.1002","volume":"30","author":[{"given":"Hana","family":"Marmura","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Faculty of Health Sciences Western University London Canada"},{"name":"<!--<label>2<\/label>--> Fowler Kennedy Sport Medicine Clinic, University of Western Ontario 3M Centre N6K 4P3 London ON Canada"},{"name":"<!--<label>3<\/label>--> Bone and Joint Institute Western University London Canada"},{"name":"<!--<label>4<\/label>--> Lawson Research, London Health Sciences Centre London Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Firth","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Faculty of Health Sciences Western University London Canada"},{"name":"<!--<label>2<\/label>--> Fowler Kennedy Sport Medicine Clinic, University of Western Ontario 3M Centre N6K 4P3 London ON Canada"},{"name":"<!--<label>3<\/label>--> Bone and Joint Institute Western University London Canada"},{"name":"<!--<label>4<\/label>--> Lawson Research, London Health Sciences Centre London Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lachlan","family":"Batty","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Fowler Kennedy Sport Medicine Clinic, University of Western Ontario 3M Centre N6K 4P3 London ON Canada"},{"name":"<!--<label>5<\/label>--> OrthoSport Victoria Research Unit Richmond Australia"},{"name":"<!--<label>6<\/label>--> St. Vincent\u2019s Hospital Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dianne M.","family":"Bryant","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Faculty of Health Sciences Western University London Canada"},{"name":"<!--<label>2<\/label>--> Fowler Kennedy Sport Medicine Clinic, University of Western Ontario 3M Centre N6K 4P3 London ON Canada"},{"name":"<!--<label>3<\/label>--> Bone and Joint Institute Western University London Canada"},{"name":"<!--<label>4<\/label>--> Lawson Research, London Health Sciences Centre London Canada"},{"name":"<!--<label>7<\/label>--> Schulich School of Medicine and Dentistry Western University London Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4731-4333","authenticated-orcid":false,"given":"Alan M. 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