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Seventy\u2010four patients with at least 2 years of follow\u2010up who had high\u2010grade positive pivot\u2010shift test findings were included. Concomitant procedures such as meniscectomy and meniscal repair were collected, along with any complications and\/or graft failure. The Knee Injury and Osteoarthritis Outcome Score (KOOS) and the International Knee Documentation Committee Subjective Knee Form score were collected. The ability to RTS was defined as fully, partially, or not returned.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the patients, 39 underwent isolated R\u2010ACLR (mean age \u00b1 standard deviation, 29.2 \u00b1 12.2 years) whereas 35 underwent an additional LET procedure (mean age, 24.6 \u00b1 7.4 years). The mean length of follow\u2010up in the R\u2010ACLR group was 56.6 \u00b1 26.5 months compared with 44.3 \u00b1 17.6 months in the R\u2010ACLR\u2013LET group (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .02) (range, 24\u2010120 months). Patient\u2010reported outcome measures were higher in the R\u2010ACLR\u2013LET group, with the KOOS Activities of Daily Living (93.5 \u00b1 2.0 vs 97.2 \u00b1 1.6,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .03) and KOOS Sport (63.0 \u00b1 3.6 vs 74.3 \u00b1 3.8,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .05) subdomain scores reaching the level of statistical significance. No differences were found in the other KOOS subdomain scores or the International Knee Documentation Committee scores. Failure rates were not significantly different between the groups (12.8% for R\u2010ACLR vs 11.4% for R\u2010ACLR\u2013LET,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .99). There were 13 patients (72.2%) in the R\u2010ACLR group and 14 patients (60.8%) in the R\u2010ACLR\u2013LET group who did not RTS.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>R\u2010ACLR with additional LET showed similar failure and RTS rates to isolated R\u2010ACLR after failed ACLR. The R\u2010ACLR\u2013LET group showed better functional results with significantly higher KOOS subdomain scores for activities of daily living, as well as sports and recreation. However, this study was unable to recommend the modified Lemaire LET procedure to be routinely used in R\u2010ACLR patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective comparative therapeutic trial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2024.01.034","type":"journal-article","created":{"date-parts":[[2024,2,6]],"date-time":"2024-02-06T20:49:15Z","timestamp":1707252555000},"page":"2601-2609","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":13,"title":["Lateral Extra\u2010articular Tenodesis Does Not Decrease Graft Failure in Revision Anterior Cruciate Ligament Reconstruction When Combined With Quadriceps or Patellar Tendon Grafts"],"prefix":"10.1002","volume":"40","author":[{"given":"Thiago Alberto","family":"Vivacqua","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Fowler Kennedy Sport Medicine Clinic University of Western Ontario London Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp W.","family":"Winkler","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology Kepler University Hospital Linz Linz Austria"},{"name":"Department of Sports Orthopaedics Klinikum Rechts der Isar Technical University of Munich Munich Germany"},{"name":"Department of Orthopedic Surgery UPMC Freddie Fu Sports Medicine Center University of Pittsburgh Pittsburgh Pennsylvania U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gian Andrea","family":"Lucidi","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery UPMC Freddie Fu Sports Medicine Center University of Pittsburgh Pittsburgh Pennsylvania 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