{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T16:11:41Z","timestamp":1788797501045,"version":"build-2803163510"},"reference-count":22,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"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>The purpose of this scoping review was to map the existing literature describing revision anterior cruciate ligament reconstruction (ACLR) following failure of combined ACLR with lateral extra\u2010articular procedures (LEAPs), characterize reported surgical strategies, summarize available clinical outcomes and identify gaps in the current evidence base.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A scoping review was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses extension for Scoping Reviews guidelines. Ovid MEDLINE, Embase and PubMed were searched from inception to February 2026. Eligible studies included technical notes and clinical studies describing revision of failed combined ACLR with LEAPs, including lateral extra\u2010articular tenodesis (LET) or anterolateral ligament reconstruction (ALLR). Studies were included irrespective of outcome reporting, provided revision strategies were described. Single\u2010revision or re\u2010revision cases and adult and paediatric populations were included. Review articles, editorials and letters were excluded. Data were extracted and synthesized descriptively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nine studies were included. Three studies described detailed revision strategies, including single\u2010stage revision ACLR with ALLR, double\u2010bundle revision ACLR with LET preservation and all\u2010epiphyseal revision ACLR following failed LET. Six clinical studies included 594 patients within broader primary or revision ACLR cohorts, of whom 23 were explicitly identified as undergoing revision or re\u2010revision following failure of a combined ACLR with LEAP. Revision strategies were heterogeneous in graft selection and management of the LEAP, including LET preservation, LET revision or conversion to ALLR. Clinical outcomes were reported in two case reports, both demonstrating satisfactory short\u2010term stability and functional outcomes following revision ACLR with LET preservation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The current literature on the revision of failed combined ACLR with LEAPs is limited and heterogeneous. Revision strategies vary widely, and reporting of both technique and clinical outcomes is inconsistent. Based on the limited evidence and expert opinion, revision ACLR in this context should be individualized according to surgeon experience and patient\u2010specific factors, such as prior ACL graft harvest, tunnel interactions and the status of the prior LEAP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level V.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ksa.70593","type":"journal-article","created":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T15:53:51Z","timestamp":1788796431000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Revision anterior cruciate ligament reconstruction following failure of combined anterior cruciate ligament reconstruction with lateral extra\u2010articular procedures: A scoping review"],"prefix":"10.1002","author":[{"given":"Dave Osinachukwu","family":"Duru","sequence":"first","affiliation":[{"name":"School of Clinical Medicine University of Cambridge Cambridge UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ciara\u2010Clare","family":"O'Brien","sequence":"additional","affiliation":[{"name":"Royal College of Surgeons in Ireland, School of Medicine Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6883-9486","authenticated-orcid":false,"given":"Marc Daniel","family":"Bouchard","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery McMaster University Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1298-5121","authenticated-orcid":false,"given":"Prushoth","family":"Vivekanantha","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery McMaster University Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8442-9768","authenticated-orcid":false,"given":"Ashraf","family":"Hantouly","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery McMaster University Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3997-4078","authenticated-orcid":false,"given":"Darren","family":"de SA","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery McMaster University Hamilton Ontario Canada"},{"name":"Division of Orthopaedic Surgery McMaster Children's Hospital Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4219-8564","authenticated-orcid":false,"given":"Olufemi R.","family":"Ayeni","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery McMaster University Hamilton Ontario Canada"},{"name":"Division of Orthopaedic Surgery McMaster Children's Hospital Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Kay","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery McMaster University Hamilton Ontario Canada"},{"name":"Division of Orthopaedic Surgery McMaster Children's Hospital Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"issue":"4","key":"e_1_2_12_2_1","doi-asserted-by":"crossref","DOI":"10.1177\/26350254251335672","article-title":"Re\u2010revision ACL reconstruction: a double\u2010bundle technique video","volume":"5","author":"Bohn C","year":"2025","journal-title":"Video J Sports Med"},{"key":"e_1_2_12_3_1","first-page":"1","article-title":"Ten\u2010year outcomes of combined ACLR and lateral extra\u2010articular tenodesis: a systematic review","author":"Bouchard MD","year":"2025","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"4","key":"e_1_2_12_4_1","doi-asserted-by":"crossref","first-page":"1075","DOI":"10.1007\/s00590-022-03249-4","article-title":"Combined lateral extra\u2010articular tenodesis and anterior cruciate ligament reconstruction: risk of osteoarthritis","volume":"33","author":"Declercq J","year":"2023","journal-title":"Eur J Orthop Surg Traumatol"},{"issue":"3","key":"e_1_2_12_5_1","doi-asserted-by":"crossref","first-page":"976","DOI":"10.1016\/j.injury.2023.01.033","article-title":"A comparison of the outcomes of anterior curciate ligament reconstruction with large\u2010size graft versus reconstruction with average\u2010size graft combined with extraarticular tenodesis","volume":"54","author":"El\u2010Azab H","year":"2023","journal-title":"Injury"},{"issue":"5","key":"e_1_2_12_6_1","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1097\/BPB.0000000000000298","article-title":"Revision pediatric anterior cruciate ligament reconstruction after failure of iliotibial band technique treated with all\u2010epiphyseal technique in a prepubescent with Ehlers\u2013Danlos syndrome: a case report","volume":"26","author":"Erdman MK","year":"2017","journal-title":"J Pediatr Orthop B"},{"issue":"2","key":"e_1_2_12_7_1","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1177\/0363546519896333","article-title":"Lateral extra\u2010articular tenodesis reduces failure of hamstring tendon autograft anterior cruciate ligament reconstruction: 2\u2010year outcomes from the STABILITY Study randomized clinical trial","volume":"48","author":"Getgood AMJ","year":"2020","journal-title":"Am J Sports Med"},{"issue":"3","key":"e_1_2_12_8_1","doi-asserted-by":"crossref","DOI":"10.1177\/23259671261416444","article-title":"Outcomes of isolated lateral extra\u2010articular tenodesis for residual laxity following ACL reconstruction: a systematic review","volume":"14","author":"Haque 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sports","volume":"33","author":"Lutz C","year":"2025","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"4","key":"e_1_2_12_12_1","doi-asserted-by":"crossref","DOI":"10.1177\/23259671221088049","article-title":"Trends in anterolateral ligament reconstruction and lateral extra\u2010articular tenodesis with ACL reconstruction in children and adolescents","volume":"10","author":"Madhan AS","year":"2022","journal-title":"Orthop J Sports Med"},{"issue":"11","key":"e_1_2_12_13_1","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1007\/s12178-024-09924-9","article-title":"What's in a name? Defining \u2018failure\u2019 in anterior cruciate ligament reconstruction randomized controlled trials: a systematic review","volume":"17","author":"Milantoni V","year":"2024","journal-title":"Curr Rev Musculoskelet Med"},{"issue":"6","key":"e_1_2_12_14_1","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1136\/jisakos-2020-000457","article-title":"Anterior cruciate ligament reconstruction failure and revision surgery: current concepts","volume":"5","author":"Pache S","year":"2020","journal-title":"J ISAKOS"},{"issue":"10","key":"e_1_2_12_15_1","doi-asserted-by":"crossref","first-page":"4136","DOI":"10.1016\/j.arthro.2025.03.045","article-title":"Lateral extra\u2010articular tenodesis with iliotibial band in anterior cruciate ligament autograft reconstruction for female soccer athletes with generalized ligamentous laxity yields graft failure and return\u2010to\u2010sport rates comparable with athletes without generalized laxity","volume":"41","author":"Parmar 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