{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:11:47Z","timestamp":1787170307567,"version":"build-2736575974"},"reference-count":44,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,8,17]],"date-time":"2024-08-17T00:00:00Z","timestamp":1723852800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,8,17]],"date-time":"2024-08-17T00:00:00Z","timestamp":1723852800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2024,8,17]],"date-time":"2024-08-17T00:00:00Z","timestamp":1723852800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,8,17]],"date-time":"2024-08-17T00:00:00Z","timestamp":1723852800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T00:00:00Z","timestamp":1780012800000},"content-version":"am","delay-in-days":650,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"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":[[2025,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the safety of anterior cruciate ligament reconstruction (ACLR) with suture augmentation (SA) through clinical evaluations, monitoring of complications, and evaluation of early graft remodeling using magnetic resonance imaging (MRI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Data of participants who underwent anatomic double\u2010bundle ACLR using hamstring tendon autografts, with a minimum 2\u2010year follow\u2010up, were retrospectively reviewed. Participants undergoing ACLR with SA were propensity\u2010matched with those without SA. Postoperative clinical evaluations were recorded, including Lysholm Knee Scoring Scale, Tegner activity score, International Knee Documentation Committee (IKDC) evaluation scores, KT\u20101000 side\u2010to\u2010side difference for knee stability at a 2\u2010year follow\u2010up, and complications. The minimal clinically important difference (MCID) was calculated for IKDC scores. The anteromedial bundle graft was categorized into distal, middle, and proximal regions on the 6\u2010month and 1\u2010year postoperative MRIs. The signal\u2010to\u2010noise quotient (SNQ) of each region of interest was calculated to evaluate the graft signal intensity, which was compared between the 2 groups using Welch\u2019s\n                      <jats:italic>t<\/jats:italic>\n                      test.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fifty\u2010three participants were included in each group. No significant differences were observed between the non\u2010SA and SA groups in the Lysholm scores (96.6 \u00b1 6.2 and 95.3 \u00b1 5.8, respectively;\n                      <jats:italic>P<\/jats:italic>\n                      = .25), Tegner activity scores (4.8 \u00b1 1.4 and 5.0 \u00b1 1.3, respectively;\n                      <jats:italic>P<\/jats:italic>\n                      = .49), IKDC scores (90.4 \u00b1 10.8 and 87.1 \u00b1 12.9, respectively;\n                      <jats:italic>P<\/jats:italic>\n                      = .15), percentage of patients meeting the MCID (94.3% and 83.0%, respectively;\n                      <jats:italic>P<\/jats:italic>\n                      = .12), or postoperative KT\u20101000 side\u2010to\u2010side difference (0.9 \u00b1 1.2 and 0.7 \u00b1 1.8 mm, respectively;\n                      <jats:italic>P<\/jats:italic>\n                      = .56). One (1.8%) and 2 (3.7%) cases of retears occurred in the non\u2010SA and SA groups, respectively; no other complications occurred. The postoperative SNQ measurements revealed no significant differences in signal changes in all regions of the grafts between the 2 groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study confirmed no difference in graft signal intensity on MRI or clinical outcome between ACLR with and without SA at the 2\u2010year follow\u2010up.<\/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.2024.07.034","type":"journal-article","created":{"date-parts":[[2024,8,17]],"date-time":"2024-08-17T18:38:27Z","timestamp":1723919907000},"page":"1931","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"title":["No Difference in Graft Signal Intensity on Magnetic Resonance Imaging or Clinical Outcome Between Anterior Cruciate Ligament Reconstruction With and Without Suture Augmentation"],"prefix":"10.1002","volume":"41","author":[{"given":"Keiji","family":"Tensho","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Shinshu University School of Medicine Nagano Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoya","family":"Iwaasa","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Shinshu University School of Medicine Nagano Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suguru","family":"Koyama","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Shinshu University School of Medicine Nagano Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroki","family":"Shimodaira","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Shinshu University School of Medicine Nagano Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsuneari","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Ishibashi General Hospital Tochigi 329\u20100596 Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Shinshu University School of Medicine Nagano Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,8,17]]},"reference":[{"key":"e_1_2_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2013.05.009"},{"key":"e_1_2_4_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40279-016-0584-z"},{"key":"e_1_2_4_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-015-3697-2"},{"key":"e_1_2_4_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11420-019-09689-9"},{"key":"e_1_2_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2014.05.008"},{"key":"e_1_2_4_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10195-016-0406-y"},{"key":"e_1_2_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.06.036"},{"key":"e_1_2_4_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/23259671221091252"},{"key":"e_1_2_4_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2022.02.008"},{"key":"e_1_2_4_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2021.04.053"},{"key":"e_1_2_4_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2022.10.049"},{"key":"e_1_2_4_13_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.101B10.BJJ-2018-1282.R2"},{"key":"e_1_2_4_14_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0036-1597618"},{"key":"e_1_2_4_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/23259671221085577"},{"key":"e_1_2_4_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.01.054"},{"key":"e_1_2_4_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.09.002"},{"key":"e_1_2_4_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(99)70061-7"},{"key":"e_1_2_4_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2023.02.029"},{"key":"e_1_2_4_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514528789"},{"key":"e_1_2_4_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2016.09.003"},{"key":"e_1_2_4_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-009-0979-6"},{"key":"e_1_2_4_23_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.MLR.0000062554.74615.4C"},{"key":"e_1_2_4_24_2","first-page":"14","article-title":"Femoral insertion of the ACL. 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