{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T21:00:59Z","timestamp":1792184459638,"version":"4.4.0"},"reference-count":32,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"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":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>There is growing interest in understanding the correlates of revision anterior cruciate ligament reconstruction (ACLR) failure, and conflicting evidence exists regarding body mass index (BMI) as a risk factor.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To evaluate the relationship between BMI and revision ACLR failure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Case-control study; Level of evidence, 3.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Patients aged 16 years or older who underwent revision ACLR between 2012 and 2021 with a minimum 2-year follow-up were included. Patients with inadequate follow-up, incomplete medical records, or concomitant lateral extra-articular tenodesis, anterolateral ligament reconstruction, osteotomy, osteochondral transplant, or multiligamentous injury were excluded. BMI was classified as normal (18.5 \u2264 BMI &lt; 25.0 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ), overweight (25.0 \u2264 BMI &lt; 30.0 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ), and obese 30.0 \u2264 BMI &lt; 35.0 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ). Intraoperative data, concomitant injuries, complications, graft failure, and second revision ACLR data were collected.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 174 patients who underwent revision ACLR were included; 37 (21.3%; 26 male, 11 female) experienced revision ACLR failure while 137 (78.7%; 83 male, 54 female) did not. The mean BMI did not differ between patients with and without revision ACLR failure. There was no difference in revision ACLR failure when stratifying patients by normal (n = 81), overweight (n = 57), or obese (n = 36) BMI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>There is no significant relationship demonstrated between BMI and the risk of revision ACLR failure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259671251407094","type":"journal-article","created":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T16:17:03Z","timestamp":1773418623000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Body Mass Index and the Risk of Repeat Revision Anterior Cruciate Ligament Reconstruction Failure"],"prefix":"10.1177","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6668-2580","authenticated-orcid":false,"given":"G. Dillon","family":"Graham","sequence":"first","affiliation":[{"name":"Atrium Health Musculoskeletal Institute, Charlotte, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna M.","family":"Ifarraguerri","sequence":"additional","affiliation":[{"name":"Atrium Health Musculoskeletal Institute, Charlotte, North Carolina, USA"},{"name":"OrthoCarolina Sports Medicine Center, Charlotte, North Carolina, USA"},{"name":"OrthoCarolina Research Institute, Charlotte, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander B.","family":"White","sequence":"additional","affiliation":[{"name":"Atrium Health Musculoskeletal Institute, Charlotte, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ainsley K.","family":"Bloomer","sequence":"additional","affiliation":[{"name":"Atrium Health Musculoskeletal Institute, Charlotte, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kennedy K.","family":"Gachigi","sequence":"additional","affiliation":[{"name":"Atrium Health Musculoskeletal Institute, Charlotte, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael S.","family":"Collins","sequence":"additional","affiliation":[{"name":"IU Health Physicians Orthopedics &amp; Sports Medicine, Indianapolis, Indiana, USA"},{"name":"Department of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, Indiana, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Siparsky","sequence":"additional","affiliation":[{"name":"IU Health Physicians Orthopedics &amp; Sports Medicine, Indianapolis, Indiana, USA"},{"name":"Department of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, Indiana, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dana P.","family":"Piasecki","sequence":"additional","affiliation":[{"name":"Atrium Health Musculoskeletal Institute, Charlotte, North Carolina, USA"},{"name":"OrthoCarolina Sports Medicine Center, Charlotte, North Carolina, USA"},{"name":"OrthoCarolina Research Institute, Charlotte, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James E.","family":"Fleischli","sequence":"additional","affiliation":[{"name":"Atrium Health Musculoskeletal Institute, Charlotte, North Carolina, USA"},{"name":"OrthoCarolina Sports Medicine Center, Charlotte, North Carolina, USA"},{"name":"OrthoCarolina Research Institute, Charlotte, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan M.","family":"Saltzman","sequence":"additional","affiliation":[{"name":"IU Health Physicians Orthopedics &amp; Sports Medicine, Indianapolis, Indiana, USA"},{"name":"Department of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, Indiana, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,13]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-020-06133-y"},{"issue":"7","key":"e_1_3_3_3_2","first-page":"1788","article-title":"Returning to activity following ACL revision surgery: an analysis of the MARS cohort at two years post-operative","volume":"50","author":"Bigouette JP","year":"2022","unstructured":"Bigouette JP, Owen EC, Lantz BBA, et al. Returning to activity following ACL revision surgery: an analysis of the MARS cohort at two years post-operative. 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