{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T16:52:33Z","timestamp":1789231953003,"version":"build-2803163510"},"reference-count":38,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,11,10]],"date-time":"2024-11-10T00:00:00Z","timestamp":1731196800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2024,11,10]],"date-time":"2024-11-10T00:00:00Z","timestamp":1731196800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Orthop Surg Res"],"DOI":"10.1186\/s13018-024-05234-5","type":"journal-article","created":{"date-parts":[[2024,11,10]],"date-time":"2024-11-10T08:16:30Z","timestamp":1731226590000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Hamstring tendon graft with LARS augmentation showed superior short-term clinical efficacy compared to hamstring tendon alone as graft in ACL reconstruction: a systematic review and meta-analysis"],"prefix":"10.1186","volume":"19","author":[{"given":"Tingwei","family":"Zhao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaibo","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jian","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weili","family":"Fu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,11,10]]},"reference":[{"issue":"3","key":"5234_CR1","doi-asserted-by":"publisher","first-page":"204","DOI":"10.1007\/s00167-005-0679-9","volume":"14","author":"VB Duthon","year":"2006","unstructured":"Duthon VB, Barea C, Abrassart S, Fasel JH, Fritschy D, Menetrey J. Anatomy of the anterior cruciate ligament. Knee Surg Sports Traumatol Arthrosc. 2006;14(3):204\u201313.","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"1","key":"5234_CR2","doi-asserted-by":"publisher","first-page":"232","DOI":"10.1007\/s00167-013-2497-9","volume":"23","author":"S Michalitsis","year":"2015","unstructured":"Michalitsis S, Vlychou M, Malizos KN, Thriskos P, Hantes ME. Meniscal and articular cartilage lesions in the anterior cruciate ligament-deficient knee: correlation between time from injury and knee scores. Knee Surg Sports Traumatol Arthrosc. 2015;23(1):232\u20139.","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"3","key":"5234_CR3","doi-asserted-by":"publisher","first-page":"613","DOI":"10.1016\/j.arthro.2022.10.014","volume":"39","author":"L Giordano","year":"2023","unstructured":"Giordano L, Maffulli N, Carimati G, Morenghi E, Volpi P. Increased time to surgery after anterior cruciate ligament tear in female patients results in greater risk of medial meniscus tear: a study of 489 female patients. Arthroscopy. 2023;39(3):613\u201322.","journal-title":"Arthroscopy"},{"issue":"5","key":"5234_CR4","first-page":"643","volume":"74","author":"S Ramjug","year":"2008","unstructured":"Ramjug S, Ghosh S, Walley G, Maffulli N. Isolated anterior cruciate ligament deficiency, knee scores and function. Acta Orthop Belg. 2008;74(5):643\u201351.","journal-title":"Acta Orthop Belg"},{"issue":"8","key":"5234_CR5","doi-asserted-by":"publisher","first-page":"672","DOI":"10.2106\/JBJS.N.01257","volume":"97","author":"KG Shea","year":"2015","unstructured":"Shea KG, Carey JL, Richmond J, Sandmeier R, Pitts RT, Polousky JD, et al. The American Academy of Orthopaedic Surgeons evidence-based guideline on management of anterior cruciate ligament injuries. J Bone Joint Surg Am. 2015;97(8):672\u20134.","journal-title":"J Bone Joint Surg Am"},{"issue":"3","key":"5234_CR6","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1016\/j.jisako.2022.10.001","volume":"8","author":"SR Piedade","year":"2023","unstructured":"Piedade SR, Leite Arruda BP, de Vasconcelos RA, Parker DA, Maffulli N. Rehabilitation following surgical reconstruction for anterior cruciate ligament insufficiency: what has changed since the 1960s?-State of the art. J ISAKOS. 2023;8(3):153\u201362.","journal-title":"J ISAKOS"},{"issue":"9","key":"5234_CR7","doi-asserted-by":"publisher","first-page":"2524","DOI":"10.1016\/j.arthro.2018.06.017","volume":"34","author":"N Maffulli","year":"2018","unstructured":"Maffulli N. The early versus late anterior cruciate ligament reconstruction debate: history teaches us that we cannot use reason and evidence to fight and win against conviction. Arthroscopy. 2018;34(9):2524\u20135.","journal-title":"Arthroscopy"},{"issue":"2","key":"5234_CR8","doi-asserted-by":"publisher","first-page":"90","DOI":"10.3928\/01477447-20130122-02","volume":"36","author":"N Maffulli","year":"2013","unstructured":"Maffulli N, Osti L. ACL stability, function, and arthritis: what have we been missing? Orthopedics. 2013;36(2):90\u20132.","journal-title":"Orthopedics"},{"issue":"6","key":"5234_CR9","doi-asserted-by":"publisher","first-page":"616","DOI":"10.1007\/s12178-022-09782-3","volume":"15","author":"AM Ptasinski","year":"2022","unstructured":"Ptasinski AM, Dunleavy M, Adebayo T, Gallo RA. Returning athletes to sports following anterior cruciate ligament tears. Curr Rev Musculoskelet Med. 2022;15(6):616\u201328.","journal-title":"Curr Rev Musculoskelet Med"},{"issue":"21","key":"5234_CR10","doi-asserted-by":"publisher","first-page":"1543","DOI":"10.1136\/bjsports-2013-093398","volume":"48","author":"CL Ardern","year":"2014","unstructured":"Ardern CL, Taylor NF, Feller JA, Webster KE. Fifty-five per cent return to competitive sport following anterior cruciate ligament reconstruction surgery: an updated systematic review and meta-analysis including aspects of physical functioning and contextual factors. Br J Sports Med. 2014;48(21):1543\u201352.","journal-title":"Br J Sports Med"},{"issue":"8","key":"5234_CR11","doi-asserted-by":"publisher","first-page":"2478","DOI":"10.1007\/s00167-020-06127-w","volume":"28","author":"L Lord","year":"2020","unstructured":"Lord L, Cristiani R, Edman G, Forssblad M, St\u00e5lman A. One sixth of primary anterior cruciate ligament reconstructions may undergo reoperation due to complications or new injuries within 2 years. Knee Surg Sports Traumatol Arthrosc. 2020;28(8):2478\u201385.","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"7","key":"5234_CR12","doi-asserted-by":"publisher","first-page":"1861","DOI":"10.1177\/0363546515621554","volume":"44","author":"AJ Wiggins","year":"2016","unstructured":"Wiggins AJ, Grandhi RK, Schneider DK, Stanfield D, Webster KE, Myer GD. Risk of secondary injury in younger athletes after anterior cruciate ligament reconstruction: a systematic review and meta-analysis. Am J Sports Med. 2016;44(7):1861\u201376.","journal-title":"Am J Sports Med"},{"issue":"8","key":"5234_CR13","doi-asserted-by":"publisher","first-page":"232596712211101","DOI":"10.1177\/23259671221110191","volume":"10","author":"RJ Liukkonen","year":"2022","unstructured":"Liukkonen RJ, Ponkilainen VT, Reito A. Revision rates after primary ACL reconstruction performed between 1969 and 2018: a systematic review and metaregression analysis. Orthop J Sports Med. 2022;10(8):23259671221110190.","journal-title":"Orthop J Sports Med"},{"issue":"3","key":"5234_CR14","doi-asserted-by":"publisher","first-page":"719","DOI":"10.1007\/s00264-023-05687-z","volume":"47","author":"X Li","year":"2023","unstructured":"Li X, Yan L, Li D, Fan Z, Liu H, Wang G, et al. Failure modes after anterior cruciate ligament reconstruction: a systematic review and meta-analysis. Int Orthop. 2023;47(3):719\u201334.","journal-title":"Int Orthop"},{"issue":"1","key":"5234_CR15","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1016\/j.csm.2016.08.013","volume":"36","author":"KR Duchman","year":"2017","unstructured":"Duchman KR, Lynch TS, Spindler KP. Graft selection in anterior cruciate ligament surgery: Who gets What and Why? Clin Sports Med. 2017;36(1):25\u201333.","journal-title":"Clin Sports Med"},{"issue":"4","key":"5234_CR16","first-page":"220","volume":"3","author":"G Samitier","year":"2015","unstructured":"Samitier G, Marcano AI, Alentorn-Geli E, Cugat R, Farmer KW, Moser MW. Failure of anterior cruciate ligament reconstruction. Arch Bone Jt Surg. 2015;3(4):220\u201340.","journal-title":"Arch Bone Jt Surg"},{"key":"5234_CR17","doi-asserted-by":"publisher","DOI":"10.3389\/fbioe.2021.756930","volume":"9","author":"S Yao","year":"2021","unstructured":"Yao S, Yung PSH, Lui PPY. Tackling the challenges of graft healing after anterior cruciate ligament reconstruction-thinking from the endpoint. Front Bioeng Biotechnol. 2021;9: 756930.","journal-title":"Front Bioeng Biotechnol"},{"issue":"2","key":"5234_CR18","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1097\/JSA.0000000000000265","volume":"28","author":"KM Lin","year":"2020","unstructured":"Lin KM, Boyle C, Marom N, Marx RG. Graft selection in anterior cruciate ligament reconstruction. Sports Med Arthrosc Rev. 2020;28(2):41\u20138.","journal-title":"Sports Med Arthrosc Rev"},{"issue":"2","key":"5234_CR19","doi-asserted-by":"publisher","first-page":"249","DOI":"10.1016\/j.ocl.2009.12.009","volume":"41","author":"KR Reinhardt","year":"2010","unstructured":"Reinhardt KR, Hetsroni I, Marx RG. Graft selection for anterior cruciate ligament reconstruction: a level I systematic review comparing failure rates and functional outcomes. Orthop Clin North Am. 2010;41(2):249\u201362.","journal-title":"Orthop Clin North Am"},{"issue":"1","key":"5234_CR20","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1007\/s00264-022-05588-7","volume":"47","author":"HHG Zaid","year":"2023","unstructured":"Zaid HHG, Chenwei N, Xu H, Yang G, Li X. Clinical and arthroscopic outcomes of single-bundle anterior cruciate ligament reconstruction using autologous hamstrings augmented with ligament augmentation and reconstruction systems compared with four-strand hamstring tendon grafts alone. Int Orthop. 2023;47(1):151\u201364.","journal-title":"Int Orthop"},{"issue":"6","key":"5234_CR21","doi-asserted-by":"publisher","first-page":"1166","DOI":"10.1016\/j.mehy.2004.06.037","volume":"64","author":"J Rittweger","year":"2005","unstructured":"Rittweger J, Maffulli N, Maganaris CN, Narici MV. Reconstruction of the anterior cruciate ligament with a patella-tendon-bone graft may lead to a permanent loss of bone mineral content due to decreased patellar tendon stiffness. Med Hypotheses. 2005;64(6):1166\u20139.","journal-title":"Med Hypotheses"},{"issue":"1","key":"5234_CR22","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1016\/j.arthro.2013.09.081","volume":"30","author":"C Smith","year":"2014","unstructured":"Smith C, Ajuied A, Wong F, Norris M, Back D, Davies A. The use of the ligament augmentation and reconstruction system (LARS) for posterior cruciate reconstruction. Arthroscopy. 2014;30(1):111\u201320.","journal-title":"Arthroscopy"},{"issue":"10","key":"5234_CR23","doi-asserted-by":"publisher","first-page":"232596711987907","DOI":"10.1177\/2325967119879079","volume":"7","author":"JR Ebert","year":"2019","unstructured":"Ebert JR, Annear PT. ACL reconstruction using autologous hamstrings augmented with the ligament augmentation and reconstruction system provides good clinical scores, high levels of satisfaction and return to sport, and a low retear rate at 2 years. Orthop J Sports Med. 2019;7(10):2325967119879079.","journal-title":"Orthop J Sports Med"},{"issue":"7","key":"5234_CR24","doi-asserted-by":"publisher","first-page":"2320","DOI":"10.1007\/s00167-021-06801-7","volume":"30","author":"JR Ebert","year":"2022","unstructured":"Ebert JR, Nairn R, Breidahl W, Annear PT. Double-bundle anterior cruciate ligament reconstruction using autologous hamstrings with LARS augmentation demonstrates comparable outcomes to hamstrings alone, without evidence of synovitis or early osteoarthritis. Knee Surg Sports Traumatol Arthrosc. 2022;30(7):2320\u20138.","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"10","key":"5234_CR25","doi-asserted-by":"publisher","first-page":"232596712110466","DOI":"10.1177\/23259671211046631","volume":"9","author":"RS Aujla","year":"2021","unstructured":"Aujla RS, Ebert JR, Annear PT. Anterior cruciate ligament reconstruction using autologous hamstrings augmented with the ligament augmentation and reconstruction system versus hamstrings alone: a comparative cohort study. Orthop J Sports Med. 2021;9(10):23259671211046630.","journal-title":"Orthop J Sports Med"},{"issue":"5","key":"5234_CR26","doi-asserted-by":"publisher","first-page":"535","DOI":"10.1016\/j.otsr.2015.01.021","volume":"101","author":"F Hamido","year":"2015","unstructured":"Hamido F, Al Harran H, Al Misfer AR, El Khadrawe T, Morsy MG, Talaat A, et al. Augmented short undersized hamstring tendon graft with LARS artificial ligament versus four-strand hamstring tendon in anterior cruciate ligament reconstruction: preliminary results. Orthop Traumatol Surg Res. 2015;101(5):535\u20138.","journal-title":"Orthop Traumatol Surg Res"},{"issue":"1","key":"5234_CR27","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1007\/s00264-009-0768-3","volume":"34","author":"ZT Liu","year":"2010","unstructured":"Liu ZT, Zhang XL, Jiang Y, Zeng BF. Four-strand hamstring tendon autograft versus LARS artificial ligament for anterior cruciate ligament reconstruction. Int Orthop. 2010;34(1):45\u20139.","journal-title":"Int Orthop"},{"issue":"2","key":"5234_CR28","doi-asserted-by":"publisher","first-page":"321","DOI":"10.1007\/s00264-012-1654-y","volume":"37","author":"SD Newman","year":"2013","unstructured":"Newman SD, Atkinson HD, Willis-Owen CA. Anterior cruciate ligament reconstruction with the ligament augmentation and reconstruction system: a systematic review. Int Orthop. 2013;37(2):321\u20136.","journal-title":"Int Orthop"},{"issue":"1","key":"5234_CR29","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1002\/jor.1100150102","volume":"15","author":"RK Kdolsky","year":"1997","unstructured":"Kdolsky RK, Gibbons DF, Kwasny O, Schabus R, Plenk H Jr. Braided polypropylene augmentation device in reconstructive surgery of the anterior cruciate ligament: long-term clinical performance of 594 patients and short-term arthroscopic results, failure analysis by scanning electron microscopy, and synovial histomorphology. J Orthop Res. 1997;15(1):1\u201310.","journal-title":"J Orthop Res"},{"issue":"3","key":"5234_CR30","doi-asserted-by":"publisher","first-page":"132","DOI":"10.1007\/BF01577404","volume":"4","author":"SE Makisalo","year":"1996","unstructured":"Makisalo SE, Visuri T, Viljanen A, Jokio P. Reconstruction of the anterior cruciate ligament with carbon fibres: unsatisfactory results after 8 years. Knee Surg Sports Traumatol Arthrosc. 1996;4(3):132\u20136.","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"6","key":"5234_CR31","doi-asserted-by":"publisher","first-page":"565","DOI":"10.1016\/j.knee.2015.06.003","volume":"22","author":"TM Tiefenboeck","year":"2015","unstructured":"Tiefenboeck TM, Thurmaier E, Tiefenboeck MM, Ostermann RC, Joestl J, Winnisch M, et al. Clinical and functional outcome after anterior cruciate ligament reconstruction using the LARS\u2122 system at a minimum follow-up of 10 years. Knee. 2015;22(6):565\u20138.","journal-title":"Knee"},{"issue":"11","key":"5234_CR32","doi-asserted-by":"publisher","first-page":"3626","DOI":"10.1007\/s00167-019-05478-3","volume":"27","author":"SJ Tulloch","year":"2019","unstructured":"Tulloch SJ, Devitt BM, Porter T, Hartwig T, Klemm H, Hookway S, et al. Primary ACL reconstruction using the LARS device is associated with a high failure rate at minimum of 6-year follow-up. Knee Surg Sports Traumatol Arthrosc. 2019;27(11):3626\u201332.","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"12","key":"5234_CR33","doi-asserted-by":"publisher","first-page":"5524","DOI":"10.1007\/s00167-023-07605-7","volume":"31","author":"Q Man","year":"2023","unstructured":"Man Q, Gao Y, Wang H, Ma Y, Meng Q. There is no difference in the efficacy of anterior cruciate ligament reconstruction using autograft combined with or without ligament augmentation: a systematic review and meta-analysis. Knee Surg Sports Traumatol Arthrosc. 2023;31(12):5524\u201334.","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"5234_CR34","doi-asserted-by":"publisher","first-page":"b2535","DOI":"10.1136\/bmj.b2535","volume":"339","author":"D Moher","year":"2009","unstructured":"Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group T. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ. 2009;339:b2535.","journal-title":"BMJ"},{"issue":"3","key":"5234_CR35","doi-asserted-by":"publisher","first-page":"527","DOI":"10.1007\/s00264-014-2513-9","volume":"39","author":"R Papalia","year":"2015","unstructured":"Papalia R, Franceschi F, Tecame A, D\u2019Adamio S, Maffulli N, Denaro V. Anterior cruciate ligament reconstruction and return to sport activity: postural control as the key to success. Int Orthop. 2015;39(3):527\u201334.","journal-title":"Int Orthop"},{"key":"5234_CR36","doi-asserted-by":"publisher","first-page":"2845114","DOI":"10.1155\/2022\/2845114","volume":"2022","author":"B Zhang","year":"2022","unstructured":"Zhang B, Xiang P, Bian S, Wang Y, Ma Y. Early clinical outcomes of ACL reconstruction using semitendinosus tendon combined with LARS synthetic. Comput Math Methods Med. 2022;2022:2845114.","journal-title":"Comput Math Methods Med"},{"issue":"1","key":"5234_CR37","doi-asserted-by":"publisher","first-page":"1","DOI":"10.2165\/00007256-199928010-00001","volume":"28","author":"SD Barber-Westin","year":"1999","unstructured":"Barber-Westin SD, Noyes FR. Assessment of sports participation levels following knee injuries. Sports Med. 1999;28(1):1\u201310.","journal-title":"Sports Med"},{"issue":"4","key":"5234_CR38","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1016\/S0004-9514(09)70015-7","volume":"55","author":"S Kamper","year":"2009","unstructured":"Kamper S. Global rating of change scales. Aust J Physiother. 2009;55(4):289.","journal-title":"Aust J Physiother"}],"container-title":["Journal of Orthopaedic Surgery and Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13018-024-05234-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13018-024-05234-5","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13018-024-05234-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:49:03Z","timestamp":1777376943000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s13018-024-05234-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,10]]},"references-count":38,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["5234"],"URL":"https:\/\/doi.org\/10.1186\/s13018-024-05234-5","relation":{},"ISSN":["1749-799X"],"issn-type":[{"value":"1749-799X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,10]]},"assertion":[{"value":"2 June 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 November 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 November 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"742"}}