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This study reports clinical outcomes, RTS and re-injury rates in patients undergoing ACLR using autologous hamstrings augmented with suture tape.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Materials and methods<\/jats:title>\n                <jats:p>A total of 53 patients were prospectively recruited, undergoing ACLR using hamstrings with suture tape augmentation, combined with a structured rehabilitation programme. Outcomes were collected to 24\u00a0months, including patient-reported outcome measures (PROMs), KT-1000 measurements, peak isokinetic knee strength and a four hop test battery. Limb Symmetry Indices (LSIs) were calculated for performance measures, whilst RTS rates, re-tears and re-operations were presented.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>There were no significant side-to-side differences in anterior tibial translation between the operated and non-operated knees at 6\u00a0months (<jats:italic>p<\/jats:italic>\u2009=\u20090.433), with no increase (<jats:italic>p<\/jats:italic>\u2009=\u20090.841) in side-to-side anterior tibial translation from 6 to 24\u00a0months. At 24\u00a0months, 98.0% of patients demonstrated normal (&lt;\u20093\u00a0mm) or near normal (3\u20135\u00a0mm) side-to-side differences. LSIs for peak knee extensor torque (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001) and the single (<jats:italic>p<\/jats:italic>\u2009=\u20090.001), triple (<jats:italic>p<\/jats:italic>\u2009=\u20090.001) and triple crossover (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001) hop tests for distance significantly improved. All PROMs significantly improved (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001), with 70.2% and 85.7% of patients actively participating in pivoting sports at 12 and 24\u00a0months, respectively. Three patients underwent secondary procedures for meniscal symptoms. One patient suffered an ACL re-tear (17\u00a0months), with no further ipsilateral or contralateral injuries.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>ACLR with suture tape augmentation demonstrated no evidence of excessive anterior tibial translation, high-scoring PROMs, sound performance scores, a high rate of RTS and low re-injury rate.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00402-023-04835-9","type":"journal-article","created":{"date-parts":[[2023,3,15]],"date-time":"2023-03-15T10:03:22Z","timestamp":1678874602000},"page":"5207-5220","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Good clinical scores, no evidence of excessive anterior tibial translation, a high return to sport rate and a low re-injury rate is observed following anterior cruciate ligament reconstruction using autologous hamstrings augmented with suture tape"],"prefix":"10.1007","volume":"143","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5843-6243","authenticated-orcid":false,"given":"Jay R.","family":"Ebert","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Edwards","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter T.","family":"Annear","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,3,15]]},"reference":[{"key":"4835_CR1","doi-asserted-by":"crossref","unstructured":"Zbrojkiewicz D, Vertullo C, Grayson JE (2018) Increasing rates of anterior cruciate ligament reconstruction in young Australians, 2000\u20132015. 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