{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T12:33:09Z","timestamp":1786365189613,"version":"build-2736575974"},"reference-count":17,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"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 anterior cruciate ligament (ACL) graft survivorship and clinical outcomes after isolated anterior cruciate ligament reconstruction (ACLR) versus ACLR combined with all\u2010inside lateral meniscus posterior root (LMPR) repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This single\u2010centre, single\u2010surgeon retrospective comparative cohort study included consecutive patients undergoing ACLR between January 2017 and December 2023 with a minimum 24\u2010month follow\u2010up. Patients underwent isolated ACLR or ACLR with all\u2010inside LMPR repair according to intraoperative findings. A standardised anatomic single\u2010bundle ACLR with a three\u2010strand pedicled hamstring tendon autograft was used in all cases. The primary endpoint was graft rerupture\u2010free survival. Secondary endpoints included return to sport (RTS), return to work (RTW), contralateral ACL rupture and simple knee value (SKV) at 12 months. Survival was assessed using Kaplan\u2013Meier estimates and adjusted Cox regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Overall, 841 knees were analysed: 786 isolated ACLR and 55 ACLR\u2009+\u2009LMPR repair, with a median follow\u2010up of 46.0 months. ACL graft rerupture occurred in 41 isolated ACLR patients and 5 ACLR\u2009+\u2009LMPR repair patients (5.2% vs. 9.1%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.216), with no significant difference in graft rerupture\u2010free survival (log\u2010rank\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.209). In adjusted Cox analysis, ACLR\u2009+\u2009LMPR repair was not independently associated with graft rerupture\u2010free survival (hazard ratio [HR] 1.5; 95% confidence interval [CI] 0.6\u20133.9;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.407), whereas professional athlete status increased rerupture risk (HR 2.8; 95% CI 1.3\u20136.1;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.010). Contralateral ACL rupture, RTS, RTW and postoperative SKV were comparable between groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Concomitant all\u2010inside LMPR repair during ACLR was not independently associated with decreased graft rerupture\u2010free survival and showed comparable clinical outcomes to isolated ACLR at short\u2010 to mid\u2010term follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective comparative cohort study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ksa.70574","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T12:14:55Z","timestamp":1786364095000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Anterior cruciate ligament reconstruction with concomitant all\u2010inside lateral meniscus posterior root repair shows comparable graft survivorship and clinical outcomes to isolated ACL reconstruction"],"prefix":"10.1002","author":[{"given":"Alessandro","family":"Carrozzo","sequence":"first","affiliation":[{"name":"Orthopaedic Departement Universit\u00e0 degli Studi \u201cLink Campus University\u201d Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c9milie","family":"B\u00e9rard","sequence":"additional","affiliation":[{"name":"Department of Clinical Epidemiology and Public Health, CERPOP INSERM\u2010University of Toulouse III, Toulouse University Hospital (CHU) Toulouse France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamara","family":"Petrini","sequence":"additional","affiliation":[{"name":"AOU Sant'Andrea La Sapienza University of Rome Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasnae","family":"Ben Roummane","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery H\u00f4pital Pierre Paul Riquet CHU de Toulouse France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"Geiger","sequence":"additional","affiliation":[{"name":"Research Methodological Support Unit (USMR), Department of Clinical Epidemiology and Public Health Clinique Universitaire du Sport, Chu Toulouse Toulouse France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R\u00e9gis","family":"Pailh\u00e9","sequence":"additional","affiliation":[{"name":"Knee Center Clinique Aguilera Ramsay Sant\u00e9 Biarritz France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1043-7567","authenticated-orcid":false,"given":"Etienne","family":"Cavaignac","sequence":"additional","affiliation":[{"name":"Research Methodological Support Unit (USMR), Department of Clinical Epidemiology and Public Health Clinique Universitaire du Sport, Chu Toulouse Toulouse France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,10]]},"reference":[{"issue":"9","key":"e_1_2_12_2_1","doi-asserted-by":"crossref","first-page":"1922","DOI":"10.2106\/JBJS.G.00748","article-title":"Biomechanical consequences of a tear of the posterior root of the medial meniscus. 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