{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T03:32:45Z","timestamp":1792812765280,"version":"4.5.0"},"reference-count":31,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2022,11,29]],"date-time":"2022-11-29T00:00:00Z","timestamp":1669680000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2022,11,29]],"date-time":"2022-11-29T00:00:00Z","timestamp":1669680000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2022,11,29]],"date-time":"2022-11-29T00:00:00Z","timestamp":1669680000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>There has been a renewed interest in the repair of the torn anterior cruciate ligament (ACL). Purpose of this study was to evaluate the functional outcome of arthroscopic ACL repair with additional suture augmentation (SA), hypothesizing that isolated ACL ruptures would yield superior patient\u2010reported outcome measures (PROMs) compared to those with concomitant meniscal and\/or ligamentous injuries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This is a retrospective analysis of 93 consecutive patients (67 female, median age 42 years) who underwent arthroscopic ACL repair with SA between January 2017 and March 2019 for an acute traumatic ACL tear confirmed by magnetic resonance imaging (MRI). Patients with pre\u2010 or intraoperative mid\u2010substance or distal ACL tears and\/or poor tissue quality of the ACL remnant were not considered for ACL repair but were scheduled for an ACL reconstruction with a tendon autograft. In patients who underwent ACL repair with SA, the SA construct was proximally stabilized with a flip\u2010button and distally with a suture anchor. Surgery was preferably performed on the day of injury and all surgeries were performed by the same surgeon. Postoperative rehabilitation included partial weight\u2010bearing (20\u00a0kg) for 6 weeks and immobilization in a brace limited at 90\u2010degrees of knee flexion for 4 weeks. Patient\u2010reported outcome measures (PROMs) were determined using International Knee Documentation Committee (IKDC) Subjective Knee Evaluation Form, Lysholm Score (LS), Tegner Activity Score (TS) and Forgotten Joint Score (FJS). Knee\u2010laxity was assessed using the KT\u20101000 arthrometer (Med Metrics Corp. Inc., San Diego, USA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Nine patients underwent revision surgery for a traumatic re\u2010tear (four patients) and chronic instability (five patients) and were excluded from further functional analysis. Functional results of 77 patients (54 female) with a median age of 44 years (IQR 33\u201351) on the day of surgery were available for follow\u2010up after a median time of 35\u00a0months (IQR 33\u201344). Concomitant injuries were observed in 66\u00a0Patients (86%), meniscal injuries in 43 patients (55%) and ligamentous injuries in 50 patients (65%). Median interval from injury to surgery was 1\u00a0day (IQR 0\u20131) with 81% (62\/77) of patients being treated within 24 h of injury. The median IKDC was 92 (IQR 86\u201399), the median LS was 95 (IQR 86\u2013100), the median pre\u2010traumatic TS was 7 (IQR 6\u20137), the median post\u2010traumatic TS was 6 (IQR 5\u20137) with a non\u2010significant median difference (TS<jats:sub>Diff<\/jats:sub>) of 0 (IQR 0\u20131). The median FJS was 95 (IQR 78\u201398). KT\u20101000\u00a0measurements were available in 34 of 77 patients with a median postoperative laxity compared to the uninjured side of 1\u00a0mm (IQR 0\u20132). Interval from injury to surgery, patients\u2019 age, body mass index (BMI), knee laxity and concomitant ligamentous or meniscal injuries had no statistically significant impact on postoperative PROMs (n.s.).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Following arthroscopic ACL repair with SA good\u2010to\u2010excellent functional results were observed. However, a failure rate of 10% cannot be neglected and warrants further attention. Concomitant injuries to the meniscus and\/or collateral ligaments do not seem to be associated with inferior PROMs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Level IV.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-022-07236-4","type":"journal-article","created":{"date-parts":[[2022,11,29]],"date-time":"2022-11-29T10:02:49Z","timestamp":1669716169000},"page":"2836-2843","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Promising functional outcomes following anterior cruciate ligament repair with suture augmentation"],"prefix":"10.1002","volume":"31","author":[{"given":"K. N.","family":"Schneider","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedics and Trauma Surgery Klinik Gut Via Arona 34 7500 St. Moritz Switzerland"},{"name":"<!--<label>2<\/label>--> Department of Orthopaedics and Tumor Orthopaedics University Hospital of M\u00fcnster M\u00fcnster Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georg","family":"Ahlb\u00e4umer","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedics and Trauma Surgery Klinik Gut Via Arona 34 7500 St. Moritz Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Gosheger","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Orthopaedics and Tumor Orthopaedics University Hospital of M\u00fcnster M\u00fcnster Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Theil","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Orthopaedics and Tumor Orthopaedics University Hospital of M\u00fcnster M\u00fcnster Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Weller","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedics and Trauma Surgery Klinik Gut Via Arona 34 7500 St. Moritz Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Goth","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedics and Trauma Surgery Klinik Gut Via Arona 34 7500 St. Moritz Switzerland"},{"name":"<!--<label>3<\/label>--> Department of Trauma Surgery BG Trauma Center Murnau Murnau Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,11,29]]},"reference":[{"key":"e_1_2_12_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2016.04.031"},{"key":"e_1_2_12_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.11.019"},{"key":"e_1_2_12_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.11.034"},{"key":"e_1_2_12_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2021.07.005"},{"key":"e_1_2_12_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354658501300607"},{"key":"e_1_2_12_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.08.010"},{"key":"e_1_2_12_8_2","doi-asserted-by":"publisher","DOI":"10.3758\/BRM.41.4.1149"},{"key":"e_1_2_12_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12891\u2010015\u20100484\u20107"},{"key":"e_1_2_12_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010018\u20105239\u20101"},{"key":"e_1_2_12_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010020\u201006399\u20102"},{"key":"e_1_2_12_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010021\u201006485\u2010z"},{"key":"e_1_2_12_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010018\u20105338\u2010z"},{"key":"e_1_2_12_14_2","first-page":"328","article-title":"Concomitant injuries with anterior cruciate ligament rupture. 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