August 3, 2026 · The American journal of sports medicine · DOI: 10.1177/03635465261469658

Primary ACL Repair and Reconstruction in Isolated ACL Ruptures: Forgotten Joint Scores and the Association Between Residual Laxity and Joint Awareness

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This study aimed to compare joint awareness, clinical outcomes, and postoperative laxity between primary ACL repair and hamstring tendon autograft reconstruction in patients with isolated ACL ruptures. The findings indicated that while there were no significant differences in conventional clinical outcomes or laxity, primary ACL repair resulted in higher joint awareness scores, suggesting a function more akin to a native knee. Additionally, residual postoperative laxity was linked to lower joint awareness, highlighting its potential impact on patient perception of knee function.

Ozan Altun, Yılmaz Ergişi, Mehmet Altıntaş, Erdi Özdemir, Uygar Daşar, Murat Bozkurt

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