{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T19:17:07Z","timestamp":1779909427333,"version":"3.53.1"},"reference-count":29,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2019,8,19]],"date-time":"2019-08-19T00:00:00Z","timestamp":1566172800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2019,8,19]],"date-time":"2019-08-19T00:00:00Z","timestamp":1566172800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2019,8,19]],"date-time":"2019-08-19T00:00:00Z","timestamp":1566172800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,8,19]],"date-time":"2019-08-19T00:00:00Z","timestamp":1566172800000},"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":[[2019,11]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To report on the outcomes of a subset of patients \u226421\u00a0years of age after anterior cruciate ligament (ACL) reconstruction coupled with biologic augmentation using platelet\u2010rich plasma (PRP) and a porous collagen carrier.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cohort of patients was retrospectively reviewed after ACL reconstruction with hamstring autograft tendon. All reconstructive surgeries combined biologic augmentation in which the ACL graft was coupled with PRP contained within porous collagen membrane. Patients were included if they maintained a minimum follow\u2010up period of 24\u00a0months. Outcomes were assessed through patient\u2010reported questionnaires and physical examination in the clinical setting. Patient\u2010reported outcomes including International Knee Documentation Committee (IKDC), Lysholm, Tegner, and Single Assessment Numeric Evaluation (SANE) scores were collected. ACL stability was evaluated using Lachman and KT\u20101000 testing. Patients were also evaluated for return to play at the same level of competition, family history of ACL injury, and time to complete rehabilitation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 194 patients were initially eligible; 143 (74%) patients with 151 knees were ultimately evaluated. The average patient age was 16\u00a0years; 79 patients were female and 64 were male. Follow\u2010up duration averaged 52\u00a0months. IKDC and Lysholm scores averaged 91 and 91; the average SANE score was 94. The KT\u20101000 side\u2010to\u2010side difference averaged 1.2\u00a0mm. The average time to complete physical therapy was 22\u00a0weeks, and 132 patients (92%) returned to their preinjury level of competition. There were 23 cases of contralateral ACL injury (15%) and 7 cases of ACL reinjury necessitating revision surgery (5%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Biologic augmentation with hamstring autograft in ACL reconstruction shows a decreased rate of second ACL injury, specifically with regard to ACL revision surgery. The patients in this study also show higher return to preinjury level of competition at a faster rate than other studies have shown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, Therapeutic Case Series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2019.05.047","type":"journal-article","created":{"date-parts":[[2019,8,19]],"date-time":"2019-08-19T17:10:30Z","timestamp":1566234630000},"page":"3107-3113","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":26,"title":["Outcomes of Anterior Cruciate Ligament Reconstruction Using Biologic Augmentation in Patients 21\u00a0Years of Age and Younger"],"prefix":"10.1002","volume":"35","author":[{"given":"Anthony S.","family":"Berdis","sequence":"first","affiliation":[{"name":"Department of Graduate Medical Education Aultman Hospital Canton Ohio U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kodi","family":"Veale","sequence":"additional","affiliation":[{"name":"Crystal Clinic Orthopaedic Center Bell Chapter of the Hawkins Foundation Akron Ohio U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr.","given":"Paul R.","family":"Fleissner","sequence":"additional","affiliation":[{"name":"Crystal Clinic Orthopaedic Center Bell Chapter of the Hawkins Foundation Akron Ohio U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,8,19]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515621554"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512457348"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.16.00758"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-016-4020-6"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-016-9367-2"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516651845"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.5312\/wjo.v7.i9.592"},{"key":"e_1_2_2_9_2","first-page":"232","article-title":"A\u00a0cost\u2010effective method for obtaining standard platelet\u2010rich plasma","volume":"26","author":"Kececi Y.","year":"2014","journal-title":"Wounds Compend Clin Res Pract"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517746112"},{"key":"e_1_2_2_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514525593"},{"key":"e_1_2_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2012.10.036"},{"key":"e_1_2_2_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/jor.21375"},{"key":"e_1_2_2_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509339915"},{"key":"e_1_2_2_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546503261711"},{"key":"e_1_2_2_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/jor.20073"},{"key":"e_1_2_2_17_2","doi-asserted-by":"publisher","DOI":"10.1023\/A:1024540701634"},{"key":"e_1_2_2_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/jor.22201"},{"key":"e_1_2_2_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514561745"},{"key":"e_1_2_2_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.06.003"},{"key":"e_1_2_2_21_2","doi-asserted-by":"publisher","DOI":"10.1159\/000318597"},{"key":"e_1_2_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2009.11.015"},{"key":"e_1_2_2_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2008.07.016"},{"key":"e_1_2_2_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2009.06.030"},{"key":"e_1_2_2_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2009.08.019"},{"key":"e_1_2_2_26_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-009-0762-8"},{"key":"e_1_2_2_27_2","doi-asserted-by":"publisher","DOI":"10.1002\/jor.20785"},{"key":"e_1_2_2_28_2","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0b013e318246ef9e"},{"key":"e_1_2_2_29_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40279-016-0584-z"},{"key":"e_1_2_2_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2013.05.009"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806319304955?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806319304955?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2019.05.047","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2019.05.047","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2019.05.047","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:18:16Z","timestamp":1773566296000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2019.05.047"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8,19]]},"references-count":29,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2019,11]]}},"alternative-id":["10.1016\/j.arthro.2019.05.047"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2019.05.047","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,8,19]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Outcomes of Anterior Cruciate Ligament Reconstruction Using Biologic Augmentation in Patients 21\u00a0Years of Age and Younger","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2019.05.047","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 by the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}