{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T14:11:27Z","timestamp":1789740687119,"version":"4.0.1"},"reference-count":34,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T00:00:00Z","timestamp":1648771200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2022,4,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Previous studies have suggested that suture tape-reinforced anterior cruciate ligament (ACL) grafts may have higher ultimate failure loads without stress-shielding. In patients at high risk for graft failure, such as adolescents, the addition of suture tape could have beneficial outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Hypothesis:<\/jats:title>\n                    <jats:p>Suture tape reinforcement (STR) of ACL grafts in adolescent patients would lead to fewer graft ruptures during early recovery, without hindering subjective outcomes.<\/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>A retrospective review was performed on adolescent patients with a minimum 2-year follow-up after hamstring tendon autograft ACL reconstruction; enrolled were patients from both before (n = 40) and after (n = 40) a shift in surgical technique that added STR. Both the no-STR and the STR cohorts were contacted yearly to obtain patient-reported outcome data for visual analog scale (VAS; range, 0-10) for pain score, Single Assessment Numeric Evaluation, Lysholm score, Tegner activity score, patient satisfaction score (range, 0-100), and return to previous level of sport (yes\/no). The cohorts were then matched based on follow-up duration, excluding those with follow-up of &lt;2 years and &gt;3 years to maintain consistency in duration of follow-up. Graft failure was defined as either graft rupture or recurrent instability symptoms, and failures occurring from index procedure to the 3-year mark were recorded for calculations of failure rate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There were no differences between cohorts in mean age [STR, 15.7 years (range, 9.5-18.7 years); no STR, 14.9 years (range, 9.3-18.8 years)], follow-up duration, laterality, or graft size. While not statistically significant, 2 (5%) patients in the STR cohort experienced graft rupture compared with 7 (17.5%) patients in the no-STR cohort. The Tegner score was significantly higher in the STR cohort ( P = .017); no between-group differences were seen on the other outcome scores. A subanalysis of the STR cohort comparing small-diameter grafts (&lt;8 mm) with grafts \u22658 mm also demonstrated no difference in outcome measures, with 1 graft failure in each cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Study outcomes indicated that patients treated with ACL reconstruction and STR experienced a significant improvement in Tegner scores while at the same time maintaining the other subjective outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259671221085577","type":"journal-article","created":{"date-parts":[[2022,4,8]],"date-time":"2022-04-08T11:37:45Z","timestamp":1649417865000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":33,"title":["Outcomes After Hamstring ACL Reconstruction With Suture Tape Reinforcement in Adolescent Athletes"],"prefix":"10.1177","volume":"10","author":[{"given":"Brock T.","family":"Kitchen","sequence":"first","affiliation":[{"name":"Division of Orthopaedic Surgery, Rady Children\u2019s Hospital, San Diego, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brendon C.","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of California-San Diego, San Diego, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel J.","family":"Cognetti","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of California-San Diego, San Diego, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew Y.","family":"Siow","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of California-San Diego, San Diego, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roland","family":"Howard","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of California-San Diego, San Diego, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyssa N.","family":"Carroll","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, Rady Children\u2019s Hospital, San Diego, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracey P.","family":"Bastrom","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, Rady Children\u2019s Hospital, San Diego, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric W.","family":"Edmonds","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, Rady Children\u2019s Hospital, San Diego, California, 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