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Biomechanical evidence shows that anatomic anterior cruciate ligament reconstruction alone may not restore pivot shift stability in cadaveric models. When added to anatomic anterior cruciate ligament reconstruction, lateral extra\u2010articular tenodesis can restore pivot shift stability, even in the context of lateral meniscus root tears, increased tibial slope, tibial bone loss, and medial meniscectomy. Clinical studies (while not uniformly positive) have shown promise in reducing graft failure rates without increased risks of complications. Let's\u00a0us keep pushing the indications for lateral extra\u2010articular tenodesis while keeping track of short\u2010 and long\u2010term outcomes\u2014benefits continue to be shown clinically and biomechanically, while the negative impact is low.<\/jats:p>","DOI":"10.1002\/arj.70171","type":"journal-article","created":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T14:56:40Z","timestamp":1776956200000},"page":"1214-1215","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["<i>Editorial Commentary<\/i>\n                    : LET's Keep Expanding Our Indications for Lateral Extra\u2010articular Procedures During Anterior Cruciate Ligament Reconstruction"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9458-8623","authenticated-orcid":false,"given":"Nicholas A.","family":"Trasolini","sequence":"first","affiliation":[{"name":"Wake Forest University School of Medicine, Atrium Health Wake Forest Baptist Medical Center  Winston Salem North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,23]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/arj.70172"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465251338236"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231184389"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465251371644"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231198856"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2023.05.005"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231198494"},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ksa.70231"},{"key":"e_1_2_3_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ksa.70059"},{"key":"e_1_2_3_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465251393524"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70171","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/arj.70171","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70171","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T18:52:21Z","timestamp":1783018341000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1002\/arj.70171"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,23]]},"references-count":10,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1002\/arj.70171"],"URL":"https:\/\/doi.org\/10.1002\/arj.70171","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,23]]},"assertion":[{"value":"2026-04-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}