{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T08:44:34Z","timestamp":1791967474762,"version":"4.3.4"},"reference-count":77,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100021171","name":"Basic and Applied Basic Research Foundation of Guangdong Province","doi-asserted-by":"publisher","award":["2023A1515010371"],"award-info":[{"award-number":["2023A1515010371"]}],"id":[{"id":"10.13039\/501100021171","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100017610","name":"Shenzhen Science and Technology Innovation Program","doi-asserted-by":"publisher","award":["JCYJ20210324102607021"],"award-info":[{"award-number":["JCYJ20210324102607021"]}],"id":[{"id":"10.13039\/501100017610","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100017610","name":"Shenzhen Science and Technology Innovation Program","doi-asserted-by":"publisher","award":["GJHZ20220913143201002"],"award-info":[{"award-number":["GJHZ20220913143201002"]}],"id":[{"id":"10.13039\/501100017610","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The clinical application of anterior cruciate ligament (ACL) remnant preservation remains controversial, and conventional remnant\u2010preserving techniques cannot fully maximize the biological potential of ACL remnants. To compare graft ligamentization, femoral tunnel enlargement, and clinical functional scores between \u201ctension suspension\u201d remnant\u2010preserving anterior cruciate ligament reconstruction (ACLR) and single\u2010bundle anatomical ACLR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Forty\u2010eight patients enrolled from December 2021 to June 2023 were divided into non\u2010preserving remnant (NPR,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200918) and preserving remnant (PR,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200930) groups. At 3 and 6\u2009months postoperatively, magnetic resonance imaging (MRI) of the knee was performed to measure graft signal noise quotient (SNQ) of the region of interest (ROI) and femoral tunnel diameter changes. Lysholm, IKDC, and Tegner scores were assessed at 6\u2009months. Demographic and preoperative data were analyzed; intergroup comparisons of graft SNQ, femoral tunnel diameter changes, and clinical scores were conducted. Spearman correlation analysis evaluated the relationship between graft SNQ and knee function scores.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      No intergroup differences were noted in age, sex, BMI, or graft diameter. At 3\u2009months, significant differences were observed in graft SNQ (most prominent at the distal end) and femoral tunnel diameter changes (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). At 6\u2009months, no significant differences were found in SNQ (except near\u2010significant proximal SNQ,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.058) or femoral tunnel diameter changes; clinical scores showed no intergroup differences. Tegner scores were moderately to significantly positively correlated with 6\u2010month SNQ (&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\u201cTension suspension\u201d remnant\u2010preserving ACLR has significant advantages in early graft ligamentization and inhibiting femoral tunnel enlargement. Subjective knee function may be related to graft signal intensity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/os.70443","type":"journal-article","created":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T07:44:58Z","timestamp":1791963898000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cTension Suspension\u201d Remnant\u2010Preserving\n                    <scp>ACL<\/scp>\n                    Reconstruction Promotes the Early Maturity of the Graft Ligament"],"prefix":"10.1111","author":[{"given":"Jiamin","family":"Liang","sequence":"first","affiliation":[{"name":"Department of Medicine Shenzhen University  Shenzhen Guangdong Province China"},{"name":"Department of Sports Medicine The Second People's Hospital of Shenzhen City, The First Affiliated Hospital of Shenzhen University  Shenzhen Guangdong Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-1461-5547","authenticated-orcid":false,"given":"Gengen","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Medicine Shenzhen University  Shenzhen Guangdong Province China"},{"name":"Department of Sports Medicine The Second People's Hospital of Shenzhen City, The First Affiliated Hospital of Shenzhen University  Shenzhen Guangdong Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenhan","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Medicine Shenzhen University  Shenzhen Guangdong Province China"},{"name":"Department of Sports Medicine The Second People's Hospital of Shenzhen City, The First Affiliated Hospital of Shenzhen University  Shenzhen Guangdong Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junming","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of Medicine Shenzhen University  Shenzhen Guangdong Province China"},{"name":"Department of Sports Medicine The Second People's Hospital of Shenzhen City, The First Affiliated Hospital of Shenzhen University  Shenzhen Guangdong Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yingzhen","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Medicine Shenzhen University  Shenzhen Guangdong Province China"},{"name":"Department of Sports Medicine The Second People's Hospital of Shenzhen City, The First Affiliated Hospital of Shenzhen University  Shenzhen Guangdong Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-2443-3184","authenticated-orcid":false,"given":"Zirong","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Medicine Shenzhen University  Shenzhen Guangdong Province China"},{"name":"Department of Sports Medicine The Second People's Hospital of Shenzhen City, The First Affiliated Hospital of Shenzhen University  Shenzhen Guangdong Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8347-5754","authenticated-orcid":false,"given":"Weimin","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Medicine Shenzhen University  Shenzhen Guangdong Province China"},{"name":"Department of Sports Medicine The Second People's Hospital of Shenzhen City, The First Affiliated Hospital of Shenzhen University  Shenzhen Guangdong Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,14]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.4085\/1062\u20106050\u20100559.24"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301\u2010620x.105b11.Bjj\u20102023\u20100058.R1"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/md.0000000000036482"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010007\u20100474\u2010x"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517698676"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010015\u20103699\u20100"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465221074694"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/os.14024"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010021\u201006765\u20108"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.21037\/aoj\u201024\u20103"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010008\u20100560\u20108"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010019\u201005556\u20106"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546521995512"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518760577"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514561436"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.07.010"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/1652901"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100038\u20101660513"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516682241"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231225984"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891\u2010023\u201007030\u20104"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.5152\/j.aott.2023.21365"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659101900307"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967118811293"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967119849012"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520951507"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.3390\/jpm13030477"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510368132"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010014\u20103252\u20106"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcm.2016.02.012"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010021\u201006660\u20102"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010022\u201007180\u20103"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1097\/jsm.0000000000000759"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010017\u20104683\u20107"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402\u2010008\u20100597\u20107"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1177\/23094990211073378"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.11.010"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.06.034"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231169047"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12306\u2010019\u201000599\u2010x"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2020.08.002"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517689871"},{"key":"e_1_2_12_44_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891\u2010015\u20100855\u20100"},{"key":"e_1_2_12_45_1","doi-asserted-by":"publisher","DOI":"10.1002\/ksa.12398"},{"key":"e_1_2_12_46_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517698684"},{"key":"e_1_2_12_47_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546504263151"},{"key":"e_1_2_12_48_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010010\u20101046\u2010z"},{"key":"e_1_2_12_49_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010003\u20100426\u2010z"},{"key":"e_1_2_12_50_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010016\u20104204\u20100"},{"key":"e_1_2_12_51_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.08.023"},{"key":"e_1_2_12_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0749\u20108063(98)70015\u20105"},{"key":"e_1_2_12_53_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001670050138"},{"key":"e_1_2_12_54_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2004.03.021"},{"key":"e_1_2_12_55_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.08.039"},{"key":"e_1_2_12_56_1","doi-asserted-by":"publisher","DOI":"10.1097\/JSA.0b013e3182900739"},{"key":"e_1_2_12_57_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010022\u201006882\u2010y"},{"key":"e_1_2_12_58_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891\u2010024\u201007464\u20104"},{"key":"e_1_2_12_59_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2015.07.010"},{"key":"e_1_2_12_60_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010019\u201005741\u20107"},{"key":"e_1_2_12_61_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010018\u20105146\u20105"},{"key":"e_1_2_12_62_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2017.05.012"},{"key":"e_1_2_12_63_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010021\u201006572\u20101"},{"key":"e_1_2_12_64_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010020\u201006406\u20106"},{"key":"e_1_2_12_65_1","doi-asserted-by":"publisher","DOI":"10.1111\/os.12763"},{"key":"e_1_2_12_66_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100038\u20101669902"},{"key":"e_1_2_12_67_1","doi-asserted-by":"publisher","DOI":"10.12200\/j.issn.1003\u20100034.2021.12.002"},{"key":"e_1_2_12_68_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231160790"},{"key":"e_1_2_12_69_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010018\u20105033\u20100"},{"key":"e_1_2_12_70_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diii.2014.04.007"},{"key":"e_1_2_12_71_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519897064"},{"issue":"3","key":"e_1_2_12_72_1","first-page":"140","article-title":"A Comparison of Clinical Outcome of Augmentation and Standard Reconstruction Techniques for Partial Anterior Cruciate Ligament Tears","volume":"23","author":"Demira\u011f B.","year":"2012","journal-title":"Eklem Hastal\u0131klar\u0131 ve Cerrahisi"},{"key":"e_1_2_12_73_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00256\u2010011\u20101347\u20104"},{"key":"e_1_2_12_74_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2015.06.032"},{"key":"e_1_2_12_75_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010020\u201006125\u2010y"},{"key":"e_1_2_12_76_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010022\u201007084\u20102"},{"key":"e_1_2_12_77_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010023\u201007656\u2010w"},{"key":"e_1_2_12_78_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2019.02.014"}],"container-title":["Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.70443","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/os.70443","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.70443","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T07:46:37Z","timestamp":1791963997000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/os.70443"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,14]]},"references-count":77,"alternative-id":["10.1111\/os.70443"],"URL":"https:\/\/doi.org\/10.1111\/os.70443","archive":["Portico"],"relation":{},"ISSN":["1757-7853","1757-7861"],"issn-type":[{"value":"1757-7853","type":"print"},{"value":"1757-7861","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,14]]},"assertion":[{"value":"2026-02-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"os.70443"}}