{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T17:23:46Z","timestamp":1791825826772,"version":"4.3.4"},"reference-count":47,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T00:00:00Z","timestamp":1776124800000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["esskajournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J. exp. orthop."],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare clinical and MRI outcomes as well as knee anterior\u2010posterior (AP) and rotational stability between ACL reconstructions (ACLR) with concomitant lateral meniscus posterior root (LMPR) repair and matched isolated ACLR, while assessing whether different LMPR tear patterns affect post\u2010operative stability, healing or meniscal extrusion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review was performed on patients\u2009&lt;\u200955 years old who underwent ACLR and LMPR repair between 2018 and 2022, with minimum 2\u2010year follow\u2010up. Patients with osteoarthritis, prior meniscal or cartilage surgery, revision ACLR, or multi\u2010ligament injuries were excluded. The LMPR group was stratified into oblique radial (I), longitudinal\/T\u2010type (II), and avulsion (III) tears. A 2:1 propensity score\u2010matched control cohort of isolated ACLR was created. Pre\u2010 and post\u2010operative knee stability (pivot shift, KT\u20101000), PROMs (IKDC, Lysholm, Tegner), LMPR healing, lateral meniscus extrusion (LME), and MRI parameters (posterior meniscofemoral ligament) pMFL, (lateral femoral notch sign) LFNS were analysed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Forty\u2010one LMPR repairs and 20 matched controls were included. Pre\u2010operative instability was similar between groups (pivot shift\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.09, KT\u20101000\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.92). Significant improvements in pivot shift and KT\u20101000 were observed post\u2010operatively in both groups (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), with no post\u2010operative differences between them (pivot shift\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.72, KT\u20101000\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.94). PROMs improved significantly in all groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) with no post\u2010operative group differences. Post\u2010operative reduction of LME did not differ statistically among tear types (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05), but LME still remained slightly higher in the study group. LMPR healing was high (75.6% complete, 24.4% partial) with no failures and no difference in healing across tear patterns (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.46). The presence of LFNS or pMFL was not associated with tear type or with LMPR versus control status (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>LMPR repair performed during ACLR successfully restores knee stability, decreases LME, and achieves functional outcomes similar to isolated ACLR. Tear morphology does not significantly affect post\u2010operative clinical or magnetic resonance imaging results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective comparative study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jeo2.70725","type":"journal-article","created":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T12:35:26Z","timestamp":1776170126000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Lateral meniscus posterior root repair during ACL reconstruction restores knee stability and results in outcomes comparable to isolated ACL reconstruction: A propensity\u2010matched cohort analysis"],"prefix":"10.1002","volume":"13","author":[{"given":"Nikolaos","family":"Koukoulias","sequence":"first","affiliation":[{"name":"Sports Trauma and Orthopaedics Department Saint Luke\u2032s Hospital Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0174-1807","authenticated-orcid":false,"given":"George Mihai","family":"Avram","sequence":"additional","affiliation":[{"name":"Department of Clinical Research, Research Group Michael T. Hirschmann, Regenerative Medicine &amp; Biomechanics University of Basel Basel Switzerland"},{"name":"Central Military Emergency Hospital Dr. Carol Davila Bucharest Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evangelia Ioannis","family":"Germanou","sequence":"additional","affiliation":[{"name":"Department of Physical Education and Sports Science Aristotle University of Thessaloniki Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimitris","family":"Koukoulias","sequence":"additional","affiliation":[{"name":"Aristotle University of Thessaloniki Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgios","family":"Graikos","sequence":"additional","affiliation":[{"name":"Sports Trauma and Orthopaedics Department Saint Luke\u2032s Hospital Thessaloniki 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