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The results showed a significant interaction effect between group and fatigue condition on A\u2013ACL stress. In the GV group, A\u2013ACL stress was significantly higher than in the healthy group both before and after fatigue (p &lt; 0.001) and further increased following fatigue (p &lt; 0.001). In the pre-fatigued state, A\u2013ACL strain was significantly higher during the late stance phase in the GV group (p = 0.036), while P\u2013ACL strain significantly decreased post-fatigue (p = 0.005). Additionally, post-fatigue peak hip extension and knee flexion angles, as well as pre-fatigue knee abduction angles, showed significant differences between groups. Fatigue also led to substantial changes in knee flexion, adduction, abduction, and hip\/knee external rotation angles within the GV group. Notably, knee joint stiffness in this group was significantly lower than in controls and decreased further post-fatigue. 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