{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T02:36:00Z","timestamp":1773455760112,"version":"3.50.1"},"reference-count":28,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2023,1,28]],"date-time":"2023-01-28T00:00:00Z","timestamp":1674864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,1,28]],"date-time":"2023-01-28T00:00:00Z","timestamp":1674864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100011104","name":"Universitat Aut\u00f2noma de Barcelona","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100011104","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Orthop Surg Traumatol"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>Multiple studies have shown higher failure rate and patient-reported outcomes to be significantly worse following revision anterior cruciate ligament reconstructive (ACLR) surgery, especially using allografts. One of the reasons being rotational instability. Because of this, augmentation with lateral extra-articular tenodesis (LET) is often considered. Good short-term results in regards to functional and perceived scores and low complication rate can be expected in revision ACLR using allografts in combination with LET.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Between 2014 and 2021, 46 patients were registered for revision ACLR using allografts and extra-articular augmentation (modified Lemaire) and included in this prospective study. Patients\u2019 demographic and clinical data were collected preoperatively, postoperatively, and during the follow-up period of 12\u00a0months.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Patient-reported functional outcomes were statistically significant for IKDC, Lysholm, and SF-12 physical scale (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). Tegner score showed a decreased number of patients who were able to return to sport at their previous level (<jats:italic>p<\/jats:italic>\u2009=\u20090.001). Stability examination tests (Lachman and pivot-shift) showed significant improvements. Concomitant lesions were present in 76.1% of patients. Ten patients (21.7%) presented major complications, including six cases of anteroposterior instability, three cases of knee pain and one graft re-rupture.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Revision procedures are inherently challenging with a high number of associated chondral and meniscus lesions. However, good short-term functional outcomes and enhanced rotational stability with an acceptable complication rate can be expected in most cases where revision ACLR using allografts is augmented with LET.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Study design<\/jats:title>\n                <jats:p>Prospective; Case series; Level of evidence IV.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00590-023-03475-4","type":"journal-article","created":{"date-parts":[[2023,1,28]],"date-time":"2023-01-28T10:03:27Z","timestamp":1674900207000},"page":"2579-2586","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Allografts and lateral extra-articular tenodesis for revision anterior cruciate ligament reconstruction: enhanced rotational stability and improved functional outcomes"],"prefix":"10.1007","volume":"33","author":[{"given":"Joan","family":"Minguell Monyart","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4888-7822","authenticated-orcid":false,"given":"Felipe","family":"Moreira Borim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Mercedes","family":"Revert\u00e8 Vinaixa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irene","family":"Portas-Torres","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joan","family":"Pijoan Bueno","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enric","family":"Castellet Feliu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nayana","family":"Joshi Jubert","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,1,28]]},"reference":[{"issue":"2","key":"3475_CR1","doi-asserted-by":"publisher","first-page":"298","DOI":"10.1177\/0363546519892991","volume":"48","author":"KP Spindler","year":"2020","unstructured":"MOON Knee Group, Spindler KP, Huston LJ, Zajichek A, Reinke EK, Amendola A, Andrish JT, Brophy RH, Dunn WR, Flanigan DC, Jones MH, Kaeding CC, Marx RG, Matava MJ, McCarty EC, Parker RD, Vidal AF, Wolcott ML, Wolf BR, Wright RW (2020) Anterior cruciate ligament reconstruction in high school and college-aged athletes: Does autograft choice influence anterior cruciate ligament revision rates? Am J Sports Med 48(2):298\u2013309. https:\/\/doi.org\/10.1177\/0363546519892991","journal-title":"Am J Sports Med"},{"issue":"7 suppl5","key":"3475_CR2","doi-asserted-by":"publisher","first-page":"2325967119S0029","DOI":"10.1177\/2325967119S00292","volume":"7","author":"MARS Group","year":"2019","unstructured":"MARS Group (2019) Reoperation and failure rate at six years following revision ACL reconstruction: a MARS cohort study. Orthop J Sports Med 7(7 suppl5):2325967119S00292. https:\/\/doi.org\/10.1177\/2325967119S00292","journal-title":"Orthop J Sports Med"},{"issue":"10","key":"3475_CR3","doi-asserted-by":"publisher","first-page":"2301","DOI":"10.1177\/0363546514549005","volume":"42","author":"MARS Group","year":"2014","unstructured":"MARS Group (2014) Effect of graft choice on the outcome of revision anterior cruciate ligament reconstruction in the multicenter ACL revision study (MARS) cohort. Am J Sports Med 42(10):2301\u20132310. https:\/\/doi.org\/10.1177\/0363546514549005","journal-title":"Am J Sports Med"},{"key":"3475_CR4","doi-asserted-by":"publisher","first-page":"1543","DOI":"10.1136\/bjsports-2013-093398","volume":"21","author":"CL Ardern","year":"2014","unstructured":"Ardern CL, Taylor NF, Feller JA, Webster KE (2014) Fifty-five per cent return to competitive sport following anterior cruciate ligament reconstruction surgery: an updated systematic review and meta-analysis including aspects of physical functioning and contextual factors. Br J Sports Med 21:1543\u20131552. https:\/\/doi.org\/10.1136\/bjsports-2013-093398","journal-title":"Br J Sports Med"},{"issue":"4","key":"3475_CR5","doi-asserted-by":"publisher","first-page":"997","DOI":"10.1007\/s00167-017-4436-7","volume":"25","author":"V Musahl","year":"2017","unstructured":"Musahl V, Getgood A, Neyret P, Claes S, Burnham JM, Batailler C, Sonnery-Cottet B, Williams A, Amis A, Zaffagnini S, Karlsson J (2017) Contributions of the anterolateral complex and the anterolateral ligament to rotatory knee stability in the setting of ACL Injury: a roundtable discussion. Knee Surg Sports Traumatol Arthrosc 25(4):997\u20131008. https:\/\/doi.org\/10.1007\/s00167-017-4436-7","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"4","key":"3475_CR6","doi-asserted-by":"publisher","first-page":"767","DOI":"10.1007\/s00167-011-1860-y","volume":"20","author":"OR Ayeni","year":"2012","unstructured":"Ayeni OR, Chahal M, Tran MN, Sprague S (2012) Pivot shift as an outcome measure for ACL reconstruction: a systematic review. Knee Surg Sports Traumatol Arthrosc 20(4):767\u2013777. https:\/\/doi.org\/10.1007\/s00167-011-1860-y","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"2","key":"3475_CR7","doi-asserted-by":"publisher","first-page":"418","DOI":"10.1007\/s00167-019-05625-w","volume":"28","author":"A Grassi","year":"2020","unstructured":"Grassi A, Zicaro JP, Costa-Paz M, Samuelsson K, Wilson A, Zaffagnini S, Condello V, ESSKA Arthroscopy Committee (2020) Good mid-term outcomes and low rates of residual rotatory laxity, complications and failures after revision anterior cruciate ligament reconstruction (ACL) and lateral extra-articular tenodesis (LET). Knee Surg Sports Traumatol Arthrosc 28(2):418\u2013431. https:\/\/doi.org\/10.1007\/s00167-019-05625-w","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"2","key":"3475_CR8","doi-asserted-by":"publisher","first-page":"166","DOI":"10.1007\/s12178-019-09548-4","volume":"12","author":"MD Riediger","year":"2019","unstructured":"Riediger MD, Stride D, Coke SE, Kurz AZ, Duong A, Ayeni OR (2019) ACL reconstruction with augmentation: a scoping review. Curr Rev Musculoskelet Med 12(2):166\u2013172. https:\/\/doi.org\/10.1007\/s12178-019-09548-4. (PMID:30945237;PMCID:PMC6542956)","journal-title":"Curr Rev Musculoskelet Med"},{"issue":"5","key":"3475_CR9","doi-asserted-by":"publisher","first-page":"623","DOI":"10.1302\/0301-620X.95B5.30872","volume":"95-B","author":"GB Maletis","year":"2013","unstructured":"Maletis GB, Inacio MC, Desmond JL, Funahashi TT (2013) Reconstruction of the anterior cruciate ligament: association of graft choice with increased risk of early revision. Bone Joint J 95-B(5):623\u2013628. https:\/\/doi.org\/10.1302\/0301-620X.95B5.30872","journal-title":"Bone Joint J"},{"issue":"10","key":"3475_CR10","doi-asserted-by":"publisher","first-page":"2825","DOI":"10.1007\/s00167-015-3702-9","volume":"23","author":"L Andriolo","year":"2015","unstructured":"Andriolo L, Filardo G, Kon E, Ricci M, Della Villa F, Della Villa S, Zaffagnini S, Marcacci M (2015) Revision anterior cruciate ligament reconstruction: clinical outcome and evidence for return to sport. Knee Surg Sports Traumatol Arthrosc 23(10):2825\u20132845. https:\/\/doi.org\/10.1007\/s00167-015-3702-9","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"6","key":"3475_CR11","doi-asserted-by":"publisher","first-page":"1771","DOI":"10.1007\/s00167-018-5147-4","volume":"27","author":"V Condello","year":"2019","unstructured":"Condello V, Zdanowicz U, Di Matteo B, Spalding T, Gelber PE, Adravanti P, Heuberer P, Dimmen S, Sonnery-Cottet B, Hulet C, Bonomo M, Kon E (2019) Allograft tendons are a safe and effective option for revision ACL reconstruction: a clinical review. Knee Surg Sports Traumatol Arthrosc 27(6):1771\u20131781. https:\/\/doi.org\/10.1007\/s00167-018-5147-4","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"8S","key":"3475_CR12","doi-asserted-by":"publisher","first-page":"S223","DOI":"10.1016\/j.otsr.2017.08.007","volume":"103","author":"ML Louis","year":"2017","unstructured":"Louis ML, D\u2019ingrado P, Ehkirch FP, Bertiaux S, Colombet P, Sonnery-Cottet B, Schlatterer B, Pailh\u00e9 R, Panisset JC, Steltzlen C, Lustig S, Lutz C, Dalmay F, Imbert P, Saragaglia D (2017) Combined intra- and extra-articular grafting for revision ACL reconstruction: a multicentre study by the French Arthroscopy Society (SFA). Orthop Traumatol Surg Res 103(8S):S223\u2013S229. https:\/\/doi.org\/10.1016\/j.otsr.2017.08.007","journal-title":"Orthop Traumatol Surg Res"},{"issue":"1","key":"3475_CR13","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1177\/0363546516660075","volume":"45","author":"N Lefevre","year":"2017","unstructured":"Lefevre N, Klouche S, Mirouse G, Herman S, Gerometta A, Bohu Y (2017) Return to sport after primary and revision anterior cruciate ligament reconstruction: a prospective comparative study of 552 patients from the FAST cohort. Am J Sports Med 45(1):34\u201341. https:\/\/doi.org\/10.1177\/0363546516660075","journal-title":"Am J Sports Med"},{"issue":"4","key":"3475_CR14","doi-asserted-by":"publisher","first-page":"839","DOI":"10.1177\/0363546517750123","volume":"46","author":"MD Porter","year":"2018","unstructured":"Porter MD, Shadbolt B, Pomroy S (2018) The augmentation of revision anterior cruciate ligament reconstruction with modified iliotibial band tenodesis to correct the pivot shift: a computer navigation study. Am J Sports Med 46(4):839\u2013845. https:\/\/doi.org\/10.1177\/0363546517750123","journal-title":"Am J Sports Med"},{"issue":"4","key":"3475_CR15","doi-asserted-by":"publisher","first-page":"527","DOI":"10.1007\/s00402-015-2387-3","volume":"136","author":"C Legnani","year":"2016","unstructured":"Legnani C, Zini S, Borgo E, Ventura A (2016) Can graft choice affect return to sport following revision anterior cruciate ligament reconstruction surgery? Arch Orthop Trauma Surg 136(4):527\u2013531. https:\/\/doi.org\/10.1007\/s00402-015-2387-3. (Epub 2016 Jan 14 PMID: 26768744)","journal-title":"Arch Orthop Trauma Surg"},{"issue":"7","key":"3475_CR16","doi-asserted-by":"publisher","first-page":"1019","DOI":"10.2106\/00004623-199407000-00010","volume":"76","author":"FR Noyes","year":"1994","unstructured":"Noyes FR, Barber-Westin SD, Roberts CS (1994) Use of allografts after failed treatment of rupture of the anterior cruciate ligament. J Bone Joint Surg Am 76(7):1019\u20131031. https:\/\/doi.org\/10.2106\/00004623-199407000-00010","journal-title":"J Bone Joint Surg Am"},{"issue":"1","key":"3475_CR17","first-page":"18","volume":"1","author":"G Cerulli","year":"2013","unstructured":"Cerulli G, Placella G, Sebastiani E, Tei MM, Speziali A, Manfreda F (2013) ACL reconstruction: choosing the graft. Joints 1(1):18\u201324","journal-title":"Joints"},{"issue":"3","key":"3475_CR18","doi-asserted-by":"publisher","first-page":"740","DOI":"10.1177\/0363546517751140","volume":"47","author":"AE Weber","year":"2019","unstructured":"Weber AE, Zuke W, Mayer EN, Forsythe B, Getgood A, Verma NN, Bach BR, Bedi A, Cole BJ (2019) Lateral augmentation procedures in anterior cruciate ligament reconstruction: anatomic, biomechanical, imaging, and clinical evidence. Am J Sports Med 47(3):740\u2013752. https:\/\/doi.org\/10.1177\/0363546517751140","journal-title":"Am J Sports Med"},{"key":"3475_CR19","doi-asserted-by":"publisher","first-page":"196","DOI":"10.1007\/s00167-010-1201-6","volume":"19","author":"C Trojani","year":"2011","unstructured":"Trojani C, Sbihi A, Djian P, Potel J-F, Hulet C, Jouve F et al (2011) Causes for failure of ACL reconstruction and influence of meniscectomies after revision. Knee Surg Sports Traumatol Arthrosc 19:196\u2013201","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"3475_CR20","volume-title":"Advances in knee ligament and knee preservation surgery","year":"2022","unstructured":"Nakamura N, Marx RG, Musahl V, Getgood A, Sherman SL, Verdonk P (eds) (2022) Advances in knee ligament and knee preservation surgery. Springer International, Cham"},{"issue":"10","key":"3475_CR21","doi-asserted-by":"publisher","first-page":"2022","DOI":"10.1016\/j.arthro.2015.04.089","volume":"31","author":"CE Hewison","year":"2015","unstructured":"Hewison CE, Tran MN, Kaniki N, Remtulla A, Bryant D, Getgood AM (2015) Lateral extra-articular tenodesis reduces rotational laxity when combined with anterior cruciate ligament reconstruction: a systematic review of the literature. Arthroscopy 31(10):2022\u20132034. https:\/\/doi.org\/10.1016\/j.arthro.2015.04.089","journal-title":"Arthroscopy"},{"issue":"2","key":"3475_CR22","doi-asserted-by":"publisher","first-page":"169","DOI":"10.1177\/036354659001800210","volume":"18","author":"L Engebretsen","year":"1990","unstructured":"Engebretsen L, Lew WD, Lewis JL, Hunter RE (1990) The effect of an iliotibial tenodesis on intraarticular graft forces and knee joint motion. Am J Sports Med 18(2):169\u2013176. https:\/\/doi.org\/10.1177\/036354659001800210","journal-title":"Am J Sports Med"},{"issue":"2","key":"3475_CR23","first-page":"70","volume":"23","author":"G Botto","year":"2016","unstructured":"Botto G, Solessio J, Nogueira M, Alonso CL, Garate F (2016) Revisi\u00f3n de ligamento cruzado anterior con aumentaci\u00f3n extraarticular de Lemaire en deportistas de contacto con alta exigencia. Reporte preliminar de casos y descripci\u00f3n de t\u00e9cnica quir\u00fargica Artrosc (B. Aires) 23(2):70\u201376","journal-title":"Reporte preliminar de casos y descripci\u00f3n de t\u00e9cnica quir\u00fargica Artrosc (B. Aires)"},{"issue":"10","key":"3475_CR24","doi-asserted-by":"publisher","first-page":"232596711773176","DOI":"10.1177\/2325967117731767","volume":"5","author":"BM Devitt","year":"2017","unstructured":"Devitt BM, Bell SW, Ardern CL, Hartwig T, Porter TJ, Feller JA, Webster KE (2017) The role of lateral extra-articular tenodesis in primary anterior cruciate ligament reconstruction: a systematic review with meta-analysis and best-evidence synthesis. Orthop J Sports Med 5(10):2325967117731767. https:\/\/doi.org\/10.1177\/2325967117731767","journal-title":"Orthop J Sports Med"},{"issue":"2","key":"3475_CR25","doi-asserted-by":"publisher","first-page":"402","DOI":"10.1177\/0363546512471025","volume":"41","author":"R Buda","year":"2013","unstructured":"Buda R, Ruffilli A, Di Caprio F, Ferruzzi A, Faldini C, Cavallo M, Vannini F, Giannini S (2013) Allograft salvage procedure in multiple-revision anterior cruciate ligament reconstruction. Am J Sports Med 41(2):402\u2013410. https:\/\/doi.org\/10.1177\/0363546512471025","journal-title":"Am J Sports Med"},{"issue":"3","key":"3475_CR26","doi-asserted-by":"publisher","first-page":"156","DOI":"10.1055\/s-0037-1605590","volume":"5","author":"J Zanovello","year":"2017","unstructured":"Zanovello J, Rosso F, Bistolfi A, Rossi R, Castoldi F (2017) Combined intra- and extra-articular technique in revision anterior cruciate ligament reconstruction. Joints 5(3):156\u2013163. https:\/\/doi.org\/10.1055\/s-0037-1605590","journal-title":"Joints"},{"issue":"9","key":"3475_CR27","doi-asserted-by":"publisher","first-page":"1889","DOI":"10.1177\/0363546511406871","volume":"39","author":"JR Borchers","year":"2011","unstructured":"Borchers JR, Kaeding CC, Pedroza AD, Huston LJ, Spindler KP, Wright RW, MOON Consortium and the MARS Group (2011) Intra-articular findings in primary and revision anterior cruciate ligament reconstruction surgery: a comparison of the MOON and MARS study groups. Am J Sports Med 39(9):1889\u20131893. https:\/\/doi.org\/10.1177\/0363546511406871","journal-title":"Am J Sports Med"},{"issue":"7","key":"3475_CR28","doi-asserted-by":"publisher","first-page":"1583","DOI":"10.1177\/0363546515578836","volume":"43","author":"CC Kaeding","year":"2015","unstructured":"Kaeding CC, Pedroza AD, Reinke EK, Huston LJ, MOON Consortium, Spindler KP (2015) Risk factors and predictors of subsequent ACL injury in either knee after ACL reconstruction: prospective analysis of 2488 primary ACL reconstructions from the MOON cohort. Am J Sports Med 43(7):1583\u20131590. https:\/\/doi.org\/10.1177\/0363546515578836","journal-title":"Am J Sports Med"}],"container-title":["European Journal of Orthopaedic Surgery &amp; Traumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00590-023-03475-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00590-023-03475-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00590-023-03475-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,25]],"date-time":"2023-07-25T17:10:45Z","timestamp":1690305045000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00590-023-03475-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,28]]},"references-count":28,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2023,8]]}},"alternative-id":["3475"],"URL":"https:\/\/doi.org\/10.1007\/s00590-023-03475-4","relation":{},"ISSN":["1432-1068"],"issn-type":[{"value":"1432-1068","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1,28]]},"assertion":[{"value":"17 November 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 January 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 January 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Authors declare no conflicts of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Every patient has signed an informed consent to participate in this study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}}]}}