{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T02:56:42Z","timestamp":1780369002054,"version":"3.54.1"},"reference-count":32,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2013,7,8]],"date-time":"2013-07-08T00:00:00Z","timestamp":1373241600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2013,7,8]],"date-time":"2013-07-08T00:00:00Z","timestamp":1373241600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2013,7,8]],"date-time":"2013-07-08T00:00:00Z","timestamp":1373241600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2013,7,8]],"date-time":"2013-07-08T00:00:00Z","timestamp":1373241600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2013,8]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>We compared functional outcomes after primary hamstring\u2010graft anterior cruciate ligament (ACL) reconstruction in patients with different body mass index (BMI) classes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Functional outcomes after ACL reconstruction were measured using the Knee Injury and Osteoarthritis Outcome Score (KOOS) and the Lysholm score. The procedures were carried out by a single surgeon between 2001 and 2009 in 2 groups of patients with different BMI classes: a normal\u2010BMI group (BMI 18.5 to 24.9) and a high\u2010BMI group (BMI \u2265 25), with a minimum of 2 years' follow\u2010up. Rolimeter readings for ligament laxity as well as complications between the 2 groups were also analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 92 patients were reviewed, with the normal\u2010BMI group consisting of 49 patients, whereas there were 43 patients in the high\u2010BMI group. There were no significant differences between the groups in any of the preoperative and postoperative scores or ligament laxity. Both groups showed comparable clinically significant improvement in their postoperative scores compared with their preoperative scores. Patients in the high\u2010BMI group had a slightly increased postoperative complication rate when compared with the normal\u2010BMI group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Primary hamstring ACL reconstruction is an effective treatment option in patients irrespective of preoperative BMI. High BMI does not adversely affect functional outcomes as measured by the KOOS and Lysholm scores up to and at 2 years postoperatively, and these patients benefit in a manner comparable to that of patients with normal BMI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective comparative study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2013.05.005","type":"journal-article","created":{"date-parts":[[2013,7,4]],"date-time":"2013-07-04T12:17:22Z","timestamp":1372940242000},"page":"1314-1321","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":25,"title":["Functional Outcome of Primary Hamstring Anterior Cruciate Ligament Reconstruction in Patients with Different Body Mass Index Classes"],"prefix":"10.1002","volume":"29","author":[{"given":"Moez S.","family":"Ballal","sequence":"first","affiliation":[{"name":"Department of Trauma &amp; Orthopaedic Surgery Warrington and Halton NHS Foundation Trust Warrington England"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yousaf","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Trauma &amp; Orthopaedic Surgery Warrington and Halton NHS Foundation Trust Warrington England"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graham","family":"Hastie","sequence":"additional","affiliation":[{"name":"Department of Trauma &amp; Orthopaedic Surgery Warrington and Halton NHS Foundation Trust Warrington England"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison","family":"Hatcher","sequence":"additional","affiliation":[{"name":"Department of Trauma &amp; Orthopaedic Surgery Warrington and Halton NHS Foundation Trust Warrington England"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Coogan","sequence":"additional","affiliation":[{"name":"Department of Trauma &amp; Orthopaedic Surgery Warrington and Halton NHS Foundation Trust Warrington England"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"McNicholas","sequence":"additional","affiliation":[{"name":"Department of Trauma &amp; Orthopaedic Surgery Warrington and Halton NHS Foundation Trust Warrington England"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,7,8]]},"reference":[{"key":"e_1_2_2_2_1","unstructured":"The Department of Health. 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