{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T08:34:23Z","timestamp":1777710863886,"version":"3.51.4"},"reference-count":9,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"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":[[2022,3]]},"abstract":"<jats:sec>\n                    <jats:title>Abstract<\/jats:title>\n                    <jats:p>Lateral extra\u2010articular tenodesis (LET) reduces anterior cruciate ligament (ACL) graft rerupture rates in high\u2010risk patients. I believe in ilio\u2010tibial band (ITB)\u2010related LET to restrain anterolateral rotatory instability (ALRI) in ACL that is injured and reconstructed, and not in the \u201canterolateral ligament\u201d or related techniques. However, the potential for conflict of a modified Lemaire LET femoral tunnel with an ACL femoral tunnel is higher than appreciated, and it risks iatrogenic ACL graft damage or compromised fixation. For MacIntosh LET, I use a staple to fix a strip of ITB (left attached distally to Gerdy\u2019s tubercle) at the lateral femoral metaphysis. The tines of the staple are proximal to the ACL femoral tunnel and fixation, so conflict cannot occur. For modified Lemaire LET, the ITB graft is (taken deep to the LCL and) attached at \u201cLemaire\u2019s point\u201d on the lateral femur (proximal and posterior to the LCL femoral attachment). For fixation, I use a 15\u2010mm length suture anchor, sufficiently short to avoid conflict. I presume fixation is less strong with sutures, so the 2\u20103 cm of ITB graft proximal to the suture are turned distally back over the LCL and sutured to itself. This does create a thickened contour to the lateral knee, but excellent clinical outcomes. Finally, I recommend the anteromedial bundle (AMB) position for the femoral tunnel, as in my experience in professional soccer players, using the central \u201canatomic\u201d position increases rates of ACL graft rerupture. Moreover, \u201canatomic\u201d femoral tunnel position results in a flatter trajectory increasing the risk of conflict with a LET tunnel (or lateral physical damage in patients with open growth plates).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2021.11.029","type":"journal-article","created":{"date-parts":[[2022,3,2]],"date-time":"2022-03-02T02:16:27Z","timestamp":1646187387000},"page":"870-872","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":9,"title":["<i>Editorial Commentary:<\/i>\n                    Lateral Extra\u2010Articular Tenodesis Reduces Anterior Cruciate Ligament Graft Rerupture Rates: Proper Anterior Cruciate Ligament and Lateral Extra\u2010Articular Tenodesis Technique Is Vital to Prevent Complications"],"prefix":"10.1002","volume":"38","author":[{"given":"Andy","family":"Williams","sequence":"first","affiliation":[{"name":"London United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,3,1]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514560993"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515614312"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2021.05.028"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.12.026"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-017-4537-3"},{"key":"e_1_2_2_7_2","unstructured":"Balendra G Borque K Willinger L Jones M Williams A. Factors affecting return to play and graft re\u2010rupture after primary ACL reconstruction in professional footballers [published online October 12 2021].Knee Surg Sports Traumatol Arthrosc. doi:10.1007\/s00167\u2010021\u201006765\u20108."},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519896333"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967120976591"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.98B8.37117"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806321010471?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806321010471?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.2021.11.029","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2021.11.029","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2021.11.029","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T08:41:00Z","timestamp":1773564060000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2021.11.029"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3]]},"references-count":9,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,3]]}},"alternative-id":["10.1016\/j.arthro.2021.11.029"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2021.11.029","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Editorial Commentary: Lateral Extra-Articular Tenodesis Reduces Anterior Cruciate Ligament Graft Rerupture Rates: Proper Anterior Cruciate Ligament and Lateral Extra-Articular Tenodesis Technique Is Vital to Prevent Complications","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2021.11.029","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"simple-article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 by the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}