{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T12:47:02Z","timestamp":1792068422158,"version":"4.4.0"},"reference-count":26,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T00:00:00Z","timestamp":1785715200000},"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":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Primary anterior cruciate ligament (ACL) repair has recently reemerged as a treatment option for carefully selected proximal ACL tears. However, evidence regarding patient-reported joint awareness and the relationship between postoperative laxity and joint awareness remains limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To compare joint awareness, clinical outcomes, and postoperative laxity between primary ACL repair and hamstring tendon autograft reconstruction in carefully selected patients with isolated ACL rupture, and to explore the association between residual laxity and postoperative joint awareness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Cohort study; Level of evidence, 3.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This retrospective cohort study included 85 patients with isolated ACL rupture treated with either primary ACL repair (n = 26) or hamstring autograft reconstruction (n = 59), with a minimum follow-up of 24 months. Clinical outcomes, including visual analog scale score, Lysholm score, International Knee Documentation Committee (IKDC) score, Tegner activity scale score, postoperative knee laxity, return to sport, and rerupture rates, were evaluated. The authors also used the Forgotten Joint Score-12 (FJS-12), a measure of joint awareness, to evaluate patients. A higher score reflects lower joint awareness, suggesting function more similar to a native knee. Multivariable regression analyses were performed to evaluate variables associated with postoperative FJS-12 values.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      No differences were observed between groups in postoperative Lysholm, IKDC, and Tegner activity scale scores; Lachman- and pivot-shift\u2013assessed postoperative laxity; and return-to-sport rates. However, postoperative FJS-12 values were significantly higher in the repair group compared with the reconstruction group (87.0 \u00b1 15.0 vs 77.5 \u00b1 14.2; mean difference, 9.5 points [95% CI, 2.8-16.3];\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .006), corresponding to a moderate effect size (Cohen\n                      <jats:italic toggle=\"yes\">d<\/jats:italic>\n                      = 0.66). Secondary exploratory regression analyses demonstrated that residual postoperative laxity was associated with lower postoperative FJS-12 values in both Lachman- and pivot-shift\u2013based models (\n                      <jats:italic toggle=\"yes\">R<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      = 0.649 and 0.680, respectively;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001 for both).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In carefully selected patients with proximal ACL tears and adequate tissue quality, no significant between-group differences were detected in conventional clinical outcomes, postoperative laxity, return-to-sport rates, or rerupture rates between primary ACL repair and reconstruction. Primary ACL repair was associated with higher postoperative FJS-12 values at short- to midterm follow-up, suggesting function more similar to that of a native knee. Residual postoperative laxity was associated with lower FJS-12 values in secondary exploratory analyses.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03635465261469658","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T12:22:38Z","timestamp":1785759758000},"page":"2647-2657","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Primary ACL Repair and Reconstruction in Isolated ACL Ruptures: Forgotten Joint Scores and the Association Between Residual Laxity and Joint Awareness"],"prefix":"10.1177","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3119-5432","authenticated-orcid":false,"given":"Ozan","family":"Altun","sequence":"first","affiliation":[{"name":"Department of Orthopedics and Traumatology, \u00c7ank\u0131r\u0131 State Hospital, \u00c7ank\u0131r\u0131, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y\u0131lmaz","family":"Ergi\u015fi","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Karab\u00fck Training and Research Hospital, Karab\u00fck, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet","family":"Alt\u0131nta\u015f","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Karab\u00fck Training and Research Hospital, Karab\u00fck, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3147-9355","authenticated-orcid":false,"given":"Erdi","family":"\u00d6zdemir","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, University of Alabama at Birmingham, Birmingham, Alabama, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uygar","family":"Da\u015far","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Karab\u00fck Training and Research Hospital, Karab\u00fck, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murat","family":"Bozkurt","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Traumatology, Ac\u0131badem Ankara Hospital, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,3]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2013-093398"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2010.076364"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1302\/2058-5241.6.210023"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2017.05.007"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.21037\/aoj-24-3"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-024-04929-z"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-018-5338-z"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2001.28979"},{"key":"e_1_3_2_10_2","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1055\/s-0037-1608941","article-title":"Anterior cruciate ligament mechanoreceptors and their potential importance in remnant-preserving reconstruction: a review of basic science and clinical findings","volume":"31","author":"Kosy JD","year":"2018","unstructured":"Kosy JD, Mandalia VI. 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