{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T08:22:02Z","timestamp":1792052522228,"version":"4.4.0"},"reference-count":50,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2025,2,24]],"date-time":"2025-02-24T00:00:00Z","timestamp":1740355200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,2,24]],"date-time":"2025-02-24T00:00:00Z","timestamp":1740355200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2025,2,24]],"date-time":"2025-02-24T00:00:00Z","timestamp":1740355200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,2,24]],"date-time":"2025-02-24T00:00:00Z","timestamp":1740355200000},"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":[[2025,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To analyze a large, cross\u2010sectional sample of patients from an administrative database for trends in the yearly utilization of either isolated anterior cruciate ligament (ACL) reconstruction or concomitant ACL reconstruction with lateral extra\u2010articular tenodesis (ACLR\/LET) for the treatment of ACL injury and to compare the cumulative incidence of 5\u2010year reoperations and 90\u2010day emergency visits for each treatment modality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>International Classification of Diseases, Tenth Revision and Current Procedural Terminology codes were used to query the PearlDiver database between October 2015 and October 2022 to identify patients with a diagnosis of ACL injury undergoing either isolated ACLR or ACLR\/LET. Propensity score matching was performed on the basis of age, sex, Charlson Comorbidity Index, overweight or obesity (body mass index &gt;25.0), and tobacco use. Kaplan\u2010Meier survival analysis was used to estimate the 5\u2010year cumulative incidence of reoperations (revision ACLR, meniscus debridement\/repair, adhesion lysis, knee joint manipulation, total knee arthroplasty) for each group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 1,022 patients underwent ACLR\/LET, and 64,504 patients underwent ACLR for a diagnosis of ACL injury; following 1:1 propensity matching, 1,022 patients remained in each group. Patient counts for ACLR\/LET increased yearly during the study period for every year except 2020, with greater than 20% increases annually after 2017. Kaplan\u2010Meier analysis of revision ACLR in propensity\u2010matched groups showed a 5\u2010year cumulative incidence of 2.6% for patients undergoing ACLR\/LET and 4.9% for ACLR (hazard ratio, 0.37; 95% confidence interval, 0.18\u20100.74;\n                      <jats:italic>P<\/jats:italic>\n                      = .005). There were no significant differences between groups and any other secondary event or postoperative complications.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>ACLR\/LET is increasingly utilized to treat patients with ACL tears and shows a decreased risk for revision ACLR without an increased risk for complications compared to patients treated with isolated ACLR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective matched comparative series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2025.02.015","type":"journal-article","created":{"date-parts":[[2025,2,24]],"date-time":"2025-02-24T11:57:24Z","timestamp":1740398244000},"page":"3425","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":14,"title":["Anterior Cruciate Ligament Reconstruction With Lateral Extra\u2010articular Tenodesis Is Associated With Reduced Risk for Revision Anterior Cruciate Ligament Reconstruction in an Insurance Claims Database"],"prefix":"10.1002","volume":"41","author":[{"given":"Juan","family":"Serna","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery University of California\u2013San Francisco San Francisco California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie","family":"Kucirek","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of California\u2013San Francisco San Francisco California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirk","family":"Terada\u2010Herzer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of California\u2013San Francisco San Francisco California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Drew","family":"Lansdown","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of California\u2013San Francisco San Francisco California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. Benjamin","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of California\u2013San Francisco San Francisco California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan L.","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of California\u2013San Francisco San Francisco California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,2,24]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514542796"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1941738118803616"},{"key":"e_1_2_3_4_1","first-page":"220","article-title":"Failure of anterior cruciate ligament reconstruction","volume":"3","author":"Samitier G.","year":"2015","journal-title":"Arch Bone Jt 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