{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T08:28:07Z","timestamp":1782980887856,"version":"3.54.5"},"reference-count":34,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"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":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The addition of lateral extra\u2010articular augmentation procedures (LEAP) to anterior cruciate ligament reconstruction (ACLR) reduces graft failure rates in hamstring ACLR. However, their effects on return\u2010to\u2010sport (RTS) testing are not well understood in the setting of quadriceps (Quad) or bone\u2010tendon\u2010bone (BTB) autograft ACLR. The purpose was to evaluate the effects of adding LEAP to Quad or BTB autograft ACLR in young athletes, with respect to formal RTS testing outcomes. We hypothesized that the addition of LEAP to Quad or BTB ACLR would result in non\u2010inferior outcomes as compared to isolated ACLR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective case\u2013control analysis was performed of prospectively collected data from 93 patients under the age of 25 undergoing Quad or BTB ACLR from a single surgeon between 2021 and 2023. A control group of isolated ACLR was compared to the study group of ACLR\/LEAP (either anterolateral ligament reconstruction [ALLR] or lateral extra\u2010articular tenodesis [LET]). All patients underwent standardized RTS testing at 6 and 9 months post\u2010surgery. The study was powered based on a priori power analysis to assess non\u2010inferiority of the ACL\/LEAP group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were 51 patients (54.8%) in the isolated ACLR group and 42 (45.2%) in the ACLR\/LEAP group. The ACL\/LEAP group was non\u2010inferior to the isolated ACLR group for the limb symmetry index (LSI) and passing rates for each of the 6\u2010 and 9\u2010month RTS tests, as well as psychological readiness, as measured by Anterior Cruciate Ligament\u2010Return to Sport after Injury. There was no significant difference in overall pass rate between the control and ACL\/LEAP groups (33% vs. 45.2%, respectively,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.273) at 9 months. Subgroup analysis showed no differences in any outcome variables at 6 or 9 months between ACL\/ALLR and ACL\/LET.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study confirmed our hypothesis that the addition of LEAP to Quad or BTB ACLR is non\u2010inferior to isolated ACLR in terms of RTS testing and psychological readiness for sport at 6 and 9 months post\u2010operatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, case\u2013control study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ksa.12710","type":"journal-article","created":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T05:37:51Z","timestamp":1748756271000},"page":"825-833","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The addition of lateral extra\u2010articular augmentation procedures to bone\u2010tendon\u2010bone or quadriceps autograft anterior cruciate ligament reconstruction does not negatively affect physical or psychological readiness for return to sport at 6 and 9 months"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2381-3704","authenticated-orcid":false,"given":"Christopher M.","family":"LaPrade","sequence":"first","affiliation":[{"name":"Twin Cities Orthopedics Eagan Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E. Grant","family":"Carey","sequence":"additional","affiliation":[{"name":"Munson Orthopedic Institute Traverse City Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kennedy K.","family":"Gachigi","sequence":"additional","affiliation":[{"name":"OrthoCarolina Research Institute Charlotte North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Erbe","sequence":"additional","affiliation":[{"name":"OrthoCarolina Charlotte North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Gabriel","sequence":"additional","affiliation":[{"name":"OrthoCarolina Charlotte North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan C.","family":"Riboh","sequence":"additional","affiliation":[{"name":"OrthoCarolina Research Institute Charlotte North Carolina USA"},{"name":"OrthoCarolina Charlotte North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,1]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1941738120912846"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231198494"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465241310400"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231191778"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2021.09.026"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520935437"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.12.025"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517745268"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.02.015"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2023.12.032"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jisako.2024.04.004"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2024.100911"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231173698"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231209442"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2022-106588"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-024-62444-x"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671221088049"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516651426"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/jisakos-2020-000495"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671231166012"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2021.08.020"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40279-016-0584-z"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/ksa.12243"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40798-024-00712-w"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2020.9111"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.csm.2023.08.008"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2020.105107"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2023.05.005"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967120969425"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-018-4916-4"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515621554"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.26603\/001c.29595"}],"container-title":["Knee 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