{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T18:01:45Z","timestamp":1791914505436,"version":"4.3.4"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,6,3]],"date-time":"2021-06-03T00:00:00Z","timestamp":1622678400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2021,6,3]],"date-time":"2021-06-03T00:00:00Z","timestamp":1622678400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2021,6,3]],"date-time":"2021-06-03T00:00:00Z","timestamp":1622678400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,6,3]],"date-time":"2021-06-03T00:00:00Z","timestamp":1622678400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To investigate the patient\u2010reported outcome measures (PROMs) and graft survival of combined anterior cruciate ligament reconstruction (ACLR) and lateral extra\u2010articular tenodesis (ACLR\u2010LET) compared with a matched cohort having ACLR alone.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Patients were retrospectively recruited from a consecutive series of primary ACLR\u2010LET, between 1996 and 2015, with a minimum postsurgical time of 4 years. ACLR\u2010LET were matched with isolated ACLR for age, gender, and operation year. The indications for adding lateral extra\u2010articular tenodesis were lateral laxity of grade 1 or 2, hyperextension laxity, and\/or increased rotational laxity of 5\u00b0 to 10\u00b0. The technique used involved detaching a strip of iliotibial band proximally, before being passed deep to the lateral collateral ligament, looped through Kaplan\u2019s fibers, and sutured back onto itself at physiological tension. The PROMs used were the Lysholm Knee Scoring Scale, Tegner Activity Scale, Oxford Knee Score, and International Knee Documentation Committee subjective knee form. Failure was defined as graft rupture. Student\u2019s\n                      <jats:italic>t<\/jats:italic>\n                      \u2010test was used to compare the matched groups and Kaplan\u2010Meier analysis for survivorship.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Eighty\u2010three patients had ACLR\u2010LET between 1996 and 2015. Nine revision cases and 2 with less than 4 years follow\u2010up were excluded. The remaining 72 ACLR\u2010LET patients were matched and included in the survival analysis. Seventy percent of patients completed the PROMs. In both groups, 76% were males, and the mean age was 25 years (standard deviation \u00b1 8.5). The median follow\u2010up was 10 years (interquartile range, 6.7 years). There was no significant change of PROMs (Lysholm Knee Scoring Scale:\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .82, 95% confidence interval (CI)\u00a0\u221213 to 11; International Knee Documentation Committee:\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .07, CI\u00a0\u22121 to 24; Oxford Knee Score:\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .5, CI\u00a0\u22128 to 4; Tegner Activity Scale:\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.5, CI\u00a0\u22121 to 3) between the groups. The pre\u2010 to postoperative PROMs, except the Tegner Activity Scale, improved significantly, clinically and statistically. There was no statistically significant difference in graft failure between the ACLR\u2010LET group (n\u00a0= 4, 5%) and the ACLR group (n\u00a0= 9, 11%) (log\u2010rank\n                      <jats:italic>P\u00a0=<\/jats:italic>\n                      .099).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      ACLR\n                      <jats:bold>\u2010<\/jats:bold>\n                      LET shows good graft survival and PROMs in a high\u2010risk population. This suggests that lateral extra\u2010articular tenodesis is an effective technique to restore joint stability to a knee with additional features of laxity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>III, matched cohort study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2021.04.068","type":"journal-article","created":{"date-parts":[[2021,6,4]],"date-time":"2021-06-04T18:03:27Z","timestamp":1622829807000},"page":"119-124","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":47,"title":["Lateral Extra\u2010Articular Tenodesis Combined With Anterior Cruciate Ligament Reconstruction Is Effective in Knees With Additional Features of Lateral, Hyperextension, or Increased Rotational Laxity: A Matched Cohort Study"],"prefix":"10.1002","volume":"38","author":[{"given":"Ahmed","family":"Mahmoud","sequence":"first","affiliation":[{"name":"School of Medicine Griffith University Gold Coast Queensland Australia"},{"name":"Brisbane Orthopaedic &amp; Sports Medicine Centre Brisbane Private Hospital Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Torbey","sequence":"additional","affiliation":[{"name":"Brisbane Orthopaedic &amp; Sports Medicine Centre Brisbane Private Hospital Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Conor","family":"Honeywill","sequence":"additional","affiliation":[{"name":"Brisbane Orthopaedic &amp; Sports Medicine Centre Brisbane Private Hospital Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Myers","sequence":"additional","affiliation":[{"name":"Brisbane Orthopaedic &amp; Sports Medicine Centre Brisbane Private Hospital Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,6,3]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.04.012"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.04.110"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-018-5143-8"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/BLO.0b013e31802b4a0a"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.08.258"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-017-4537-3"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517723013"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515620183"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516686057"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2016.02.006"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.93B11.27632"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20354"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-015-1605-6"},{"key":"e_1_2_5_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.01.053"},{"key":"e_1_2_5_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516634682"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-201009000-00003"},{"key":"e_1_2_5_18_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199173060-00010"},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.08.038"},{"key":"e_1_2_5_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.04.089"},{"key":"e_1_2_5_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-012-1718-z"},{"key":"e_1_2_5_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2013.06.001"},{"key":"e_1_2_5_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-017-4510-1"},{"key":"e_1_2_5_24_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-017-4596-5"},{"key":"e_1_2_5_25_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519896333"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806321004618?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806321004618?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2021.04.068","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2021.04.068","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2021.04.068","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:14:00Z","timestamp":1773566040000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2021.04.068"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,3]]},"references-count":24,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,1]]}},"alternative-id":["10.1016\/j.arthro.2021.04.068"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2021.04.068","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This 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