{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T20:14:34Z","timestamp":1778876074368,"version":"3.51.4"},"reference-count":45,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T00:00:00Z","timestamp":1778803200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T00:00:00Z","timestamp":1778803200000},"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."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare the iliotibial band autograft biologically augmented with gracilis (ITBAG) technique with a hamstring tendon autograft combined with extra\u2010articular lateral tenodesis using fascia lata (HT\u2010LET), in terms of (1) return\u2010to\u2010sport rates, (2) patient\u2010reported functional outcomes and (3) complication rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This matched retrospective two\u2010group study included patients from the FAST Cohort (French Prospective ACL Study). Patients who underwent revision for graft re\u2010rupture were excluded from the comparative analyses of functional outcomes and return to sport. Return\u2010to\u2010sport status and level, subjective functional scores (International Knee Documentation Committee Subjective Knee Form, Knee Injury and Osteoarthritis Outcome Score, Lysholm, Tegner, Anterior Cruciate Ligament\u2010Return to Sport after Injury) and complications requiring reoperation were assessed after a minimum follow\u2010up of 2 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 628 patients (314 in each group) were analysed. At a mean follow\u2010up of 4.2 years, 65.3% (203\/311) of ITBAG patients and 66.9% (204\/305) of HT\u2010LET patients had returned to sport (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.73), with a mean time to return of 8.4 months and 8.9 months, respectively (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.25). The ITBAG group demonstrated significantly better patient\u2010reported outcomes in selected functional scores, including Lysholm (96.5 vs. 95) and ACL\u2010RSI (87.5 vs. 79.2), while other functional measures were similar between groups. Re\u2010rupture rates were low in both groups, occurring in 1% of patients in the ITBAG group and 2.9% in the HT\u2010LET group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.14). However, the HT\u2010LET group showed a higher incidence of other complications (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01), mainly due to postoperative cyclops syndrome.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Although return\u2010to\u2010sport rates were comparable between techniques, ACL reconstruction using an iliotibial band graft augmented with gracilis resulted in superior functional scores and a lower rate of postoperative stiffness compared with hamstring autograft reconstruction with extra\u2010articular lateral tenodesis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, cohort study.<\/jats:p>\n                  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France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4405-1902","authenticated-orcid":false,"given":"Adrien S.","family":"Etienne","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Clinique du Sport Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4231-6700","authenticated-orcid":false,"given":"Eugenie","family":"Valentin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Clinique du Sport Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antoine","family":"Gerometta","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Clinique du Sport Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fr\u00e9deric","family":"Khiami","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Clinique du Sport Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alain","family":"Meyer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Clinique du Sport Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivier","family":"Grimaud","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Clinique du Sport Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1043-7567","authenticated-orcid":false,"given":"Etienne","family":"Cavaignac","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery H\u00f4pital Pierre Paul Riquet, CHU de Toulouse Toulouse France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandre","family":"Hardy","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Clinique du Sport Paris 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Arthrosc"},{"key":"e_1_2_11_29_1","doi-asserted-by":"crossref","first-page":"1098","DOI":"10.1002\/ksa.70318","article-title":"Hamstring muscle recovery following arthroscopic anatomic lateral ankle ligament reconstruction","volume":"34","author":"Mar\u00e9chal H","year":"2026","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"5","key":"e_1_2_11_30_1","doi-asserted-by":"crossref","first-page":"e1321","DOI":"10.1016\/j.eats.2021.01.032","article-title":"Outside\u2010in anterior cruciate ligament revision with lateral tenodesis and high\u2010strength suture augmentation is easy to perform with the iliotibial band","volume":"10","author":"Marot V","year":"2021","journal-title":"Arthrosc Tech"},{"issue":"1","key":"e_1_2_11_31_1","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1007\/s00068-024-02708-3","article-title":"Minimal clinically important difference (MCID), patient\u2010acceptable symptom state (PASS), and substantial clinical benefit (SCB) following 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