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Multiple patient\u2010reported outcome measurement (PROM) tools have been developed and validated to quantify patient experience and allow objective comparisons. Postoperative weakness is a known issue following ACLR and has been shown to impact PROMs. Postoperative functional strength deficits are not limited to patellar and quadriceps autograft alone, with deficits seen following all autograft and allograft reconstructions. Another factor believed to influence PROMs following ACLR is graft incorporation, which has been studied radiographically and, more recently, by postoperative arthroscopy. So\u2010called second\u2010look arthroscopy protocols in published studies can be variable, and to this point, graft incorporation scoring systems have been suggested. These have not been validated or proven to correlate with changes in PROMs following ACLR.<\/jats:p>","DOI":"10.1016\/j.arthro.2025.04.044","type":"journal-article","created":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T04:01:05Z","timestamp":1745899265000},"page":"4019-4020","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["<i>Editorial Commentary<\/i>\n                    : Second\u2010Look Arthroscopic Evaluation of Graft Incorporation Following Anterior Cruciate Ligament Reconstruction Fails to Reveal Structural Causes of Poor Patient\u2010Reported Outcomes"],"prefix":"10.1002","volume":"41","author":[{"given":"Beau","family":"McGinley","sequence":"first","affiliation":[{"name":"University of Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Frank","sequence":"additional","affiliation":[{"name":"University of Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,4,28]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354658201000306"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967113518305"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-020-06311-y"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518825340"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s43019-019-0005-3"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659101900107"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2007.04.017"},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2025.02.031"},{"key":"e_1_2_3_10_1","first-page":"e378","article-title":"Current trends in anterior cruciate ligament reconstruction: A review","volume":"7","author":"Vaishya R.","year":"2015","journal-title":"Cureus"},{"key":"e_1_2_3_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-019-09588-w"},{"key":"e_1_2_3_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-021-06443-9"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806325003068?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806325003068?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.2025.04.044","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2025.04.044","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2025.04.044","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:10:59Z","timestamp":1773565859000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2025.04.044"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,28]]},"references-count":11,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1016\/j.arthro.2025.04.044"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2025.04.044","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,28]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Editorial Commentary: Second-Look Arthroscopic Evaluation of Graft Incorporation Following Anterior Cruciate Ligament Reconstruction Fails to Reveal Structural Causes of Poor Patient-Reported Outcomes","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.2025.04.044","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2025.02.031","name":"associatedlink","label":"CrossRef DOI link to the associated document"},{"value":"simple-article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 by the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}