{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T03:32:44Z","timestamp":1792812764003,"version":"4.5.0"},"reference-count":56,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T00:00:00Z","timestamp":1747958400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Primary anterior cruciate ligament (ACL) repair (ACLPR) demonstrates promising short-term clinical outcomes in select patients; however, it remains poorly understood as to whether previously reported short-term outcomes are maintained at midterm follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To determine whether short-term (2-year) outcomes are maintained at 5 years after ACLPR, evaluate age-stratified failure and reoperation rates, and identify preoperative risk factors for failure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Case series; Level of evidence, 4.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This prospective study included the first 113 consecutive patients with proximal (type I\/II) ACL tears who underwent ACLPR between 2008 and 2017 with a minimum 5-year follow-up. Failure rates were recorded based on instrumented laxity (&gt;3-mm anterior tibial translation side-to-side difference), pivot-shift grade (grade \u22652), and subjective instability. Patient Acceptable Symptom State thresholds were established based on collected patient-reported outcome measure scores. Logistic regression models were constructed to determine associations with independent risk factors for failure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 107 patients (median age, 35.5 years [interquartile range, 22.4-43.1 years]) were available at final follow-up (median, 6.0 years [interquartile range, 5.3-7.0 years]). No significant differences were reported in failure rates between 2- and 5-year follow-up: overall non\u2013age-differentiated: 11.5% versus 15.9%, respectively (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .34); \u226421 years: 37.0% versus 38.5%, respectively (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .92); and &gt;21 years: 3.5% versus 8.6%, respectively (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .16). No failures occurred in patients aged \u226421 years, while 4 failures occurred in patients aged &gt;21 years. Additionally, no significant differences were observed in overall non\u2013age-differentiated reoperation rates (6.2% vs 7.5%, respectively;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .71) and contralateral ACL injury rates (3.5% vs 4.7%, respectively;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .67). Clinical outcomes and patient-reported outcome measure scores did not significantly differ between time points, and most patients met Patient Acceptable Symptom State thresholds (88% for International Knee Documentation Committee form, 91% for Lysholm scale, 93% for Forgotten Joint Score\u201312, and 84% for ACL\u2013Return to Sport after Injury scale; all\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001). Preoperative risk factor analysis only revealed younger age as negatively impacting ipsilateral ACL failure, as the odds decreased by 12.5% for each year of increasing age (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .002).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Sustained clinical and functional outcomes for ACLPR were observed between short-term and midterm follow-up, with failure rates of 11.5% and 15.9%, respectively. Although younger age was an important risk factor for ipsilateral ACL failure, with a high failure rate of 37.0% in patients aged \u226421 years at short-term follow-up, no additional failures were observed at midterm follow-up. In contrast, patients aged &gt;21 years experienced modest failure rates, increasing from 3.5% at short-term follow-up to 8.6% at midterm follow-up, with no significant change.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03635465251340087","type":"journal-article","created":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T08:02:52Z","timestamp":1747987372000},"page":"1901-1911","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Sustained Clinical and Functional Outcomes After Primary Anterior Cruciate Ligament Repair: A Minimum 5-Year Follow-up Study"],"prefix":"10.1177","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6949-6433","authenticated-orcid":false,"given":"Sebastian","family":"Conner-Rilk","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Hospital for Special Surgery, New York, New York, USA"},{"name":"Medical University of Vienna, Vienna, Austria"},{"name":"OCM Orthopedic Surgery Munich, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel C.","family":"Goodhart","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Hospital for Special Surgery, New York, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fidelius","family":"von Rehlingen-Prinz","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Hospital for Special Surgery, New York, New York, USA"},{"name":"Department of Trauma Surgery and Orthopedics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7940-5152","authenticated-orcid":false,"given":"Jelle P.","family":"van der List","sequence":"additional","affiliation":[{"name":"Sports Medicine Research Institute, The Ohio State University Wexner Medical Center, Columbus, USA"},{"name":"Department of Orthopaedic Surgery and Sports Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyle N.","family":"Kunze","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Hospital for Special Surgery, New York, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabian","family":"Tomanek","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Hospital for Special Surgery, New York, New York, USA"},{"name":"Medical University of Vienna, Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert J.","family":"O\u2019Brien","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Hospital for Special Surgery, New York, New York, USA"},{"name":"Physician Assistant Program, Chobanian &amp; Avedisian School of Medicine, Boston University, Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9559-757X","authenticated-orcid":false,"given":"Gregory S.","family":"DiFelice","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,5,23]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-018-5312-9"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/jor.22874"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2017.03.004"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-023-06916-7"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0036-1597618"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2016.05.009"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2023.07.011"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2018-100020"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354657600400301"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465221126171"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231178301"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519896333"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514548164"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465221117777"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10050912"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-020-06399-2"},{"key":"e_1_3_2_18_2","article-title":"Anterior cruciate ligament repair using independent suture tape reinforcement","volume":"7","author":"Heusdens CHW","year":"2018","unstructured":"Heusdens CHW, Hopper GP, Dossche L, Mackay GM. 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