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Human clinical studies of Level I\u2010II evidence comparing PROs, knee stability, and complications after ACL repair and reconstruction were included, and a qualitative analysis was performed. Excluded studies included those lacking reporting outcomes, studies that performed open ACLR or repair, studies published before the year 2000, and studies with evidence Levels III\u2010IV. Study quality was assessed using the Cochrane Collaboration\u2019s risk of bias tool.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Seven Level I\u2010II studies were retained, comprising 190 ACLR and 221 repairs (75 bridge\u2010enhanced ACL repair [BEAR], 49 suture augmentation [SA], and 97 dynamic intraligamentary stabilization [DIS]). At final follow\u2010up, re\u2010rupture rates varied between 0 and 14% (BEAR) versus 0 and 6% (ACLR) and mean side\u2010to\u2010side differences measured using KT\u20101000 testing ranged from 1.6 to 1.9 mm (BEAR) versus 1.7 to 3.14 mm (ACLR). For DIS versus ACLR, mean anterior tibial translation values at final follow\u2010up were 1.7 mm (DIS) versus 1.4 mm (ACLR), and re\u2010rupture rates ranged from 20.8% to 29% (DIS) versus 17% to 27.2% (ACLR). For SA versus ACLR, the mean side\u2010to\u2010side difference ranged from 0.2 to 0.39 mm (SA) versus 0.33 to 0.4 mm (ALCR), whereas the re\u2010rupture rates were 10% (SA) versus 0% (ACLR). International Knee Documentation Committee, Tegner, Lysholm, and Knee Injury and Osteoarthritis Outcome scores across both cohorts exhibited statistically significant, and comparable improvement, from baseline to final follow\u2010up ranging from 1 to 5 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Augmented ACL repair results in similar patient\u2010reported outcome measures in comparison with ACLR. However, augmented ACL repair may be associated with greater rates of failure, given re\u2010rupture rates of up to 14%, 29%, and 10% for BEAR, DIS, and SA, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level II, systematic review of Level I\u2010II studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2024.09.008","type":"journal-article","created":{"date-parts":[[2024,9,12]],"date-time":"2024-09-12T18:30:14Z","timestamp":1726165814000},"page":"2648-2665","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":16,"title":["Anterior Cruciate Ligament Repair Results in Similar Patient\u2010Reported Outcome Measures as Anterior Cruciate Ligament Reconstruction: A Systematic Review of Prospective Comparative Studies"],"prefix":"10.1002","volume":"41","author":[{"given":"Rodrigo","family":"Saad Berreta","sequence":"first","affiliation":[{"name":"Department of Orthopaedics Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Bernardo","family":"Villarreal\u2010Espinosa","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucas","family":"Pallone","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Cotter","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Rush University Medical Center Chicago Illinois 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