{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T14:09:28Z","timestamp":1790690968735,"version":"4.1.0"},"reference-count":49,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T00:00:00Z","timestamp":1789776000000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal Orthopaedic Research"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>\n                      Lateral extra\u2010articular tenodesis (LET) has been re\u2010evaluated, and double\u2010bundle (DB) anterior cruciate ligament reconstruction (ACLR) has also been used to provide greater rotational stability.\u3000The purpose of this study is to quantitatively compare the effects of single\u2010bundle (SB) ACLR with LET and DB ACLR on knee joint stability in high\u2010risk pivot\u2010shift knees. Ten fresh\u2010frozen cadaveric whole lower limbs were used under five conditions: (A) intact knee, (B) ACL\u2010deficient knee with meniscal cut, (C) DB ACLR, (D) SB ACLR, and (E) SB ACLR with LET. Anterior tibial translation (ATT) during the Lachman test and posterior tibial acceleration (PTA) during the pivot\u2010shift test were measured using an electromagnetic measurement system. ATT differed significantly among conditions (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01): (A) 6.8\u2009\u00b1\u20091.8\u2009mm; (B) 13.3\u2009\u00b1\u20092.1\u2009mm; (C) 7.6\u2009\u00b1\u20091.5\u2009mm; (D) 8.0\u2009\u00b1\u20091.0\u2009mm; and (E) 7.7\u2009\u00b1\u20091.1\u2009mm (mean\u2009\u00b1\u2009SD). (C), (D), and (E) significantly reduced ATT compared to (B) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01). PTA differed significantly among conditions (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01): (A) 1.4\u2009\u00b1\u20091.2\u2009m\/s\n                      <jats:sup>2<\/jats:sup>\n                      ; (B) 2.5\u2009\u00b1\u20091.0\u2009m\/s\n                      <jats:sup>2<\/jats:sup>\n                      ; (C) 1.3\u2009\u00b1\u20090.9\u2009m\/s\n                      <jats:sup>2<\/jats:sup>\n                      ; (D) 1.9\u2009\u00b1\u20091.2\u2009m\/s\n                      <jats:sup>2<\/jats:sup>\n                      ; and (E) 1.4\u2009\u00b1\u20090.7\u2009m\/s\n                      <jats:sup>2<\/jats:sup>\n                      . (C) and (E) showed significantly improved rotational stability compared to (B) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01 and\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01), whereas (D) did not show a significant difference. SB ACLR alone did not significantly improve rotational stability. In cases with residual pivot\u2010shift risk, either SB ACLR with LET or DB ACLR may be reasonable surgical options.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jor.70277","type":"journal-article","created":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T10:31:27Z","timestamp":1789813887000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Single\u2010Bundle ACL Reconstruction With LET or Double\u2010Bundle ACL Reconstruction may be Considered for High\u2010Risk Pivot\u2010Shift Knees: A Cadaveric Biomechanical Study"],"prefix":"10.1002","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-9067-9778","authenticated-orcid":false,"given":"Atsuki","family":"Tanaka","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Kobe University Graduate School of Medicine Kobe 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