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Extra\u2010articular augmentation reduces the risk of ACL graft failure, particularly in high\u2010risk populations. Recent research shows a 3\u2010fold lower risk of failure and a lower rate of secondary meniscectomy. Indications include revision ACL reconstruction, pivoting sports participation, high\u2010grade pivot shift, hyperlaxity or knee hyperextension, anterolateral complex injury on imaging evaluation, chronic ACL tear, meniscus repair, increased anterior translation (&gt;7 mm), and posterior tibial slope &gt;12\u00b0. We perform extra\u2010articular procedures for every patient at high risk for rerupture, which currently accounts for more than 90% of our primary ACL reconstruction cases. Lateral extra\u2010articular procedures may also be a viable option for treating patients who have undergone isolated ACL reconstruction and have symptomatic minor instabilities and an intact ACL graft.<\/jats:p>","DOI":"10.1016\/j.arthro.2025.04.018","type":"journal-article","created":{"date-parts":[[2025,4,20]],"date-time":"2025-04-20T01:27:28Z","timestamp":1745112448000},"page":"3435-3438","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["<i>Editorial Commentary:<\/i>\n                    Lateral Extra\u2010articular Augmentations in Anterior Cruciate Ligament Reconstruction Reduce Anterior Cruciate Ligament Graft Failure and Secondary Meniscectomy and Are Indicated for Anterior Cruciate Ligament Primary and Revision Reconstruction"],"prefix":"10.1002","volume":"41","author":[{"given":"Camilo Partezani","family":"Helito","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andre Giardino Moreira","family":"da Silva","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,4,19]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/joa.12087"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967116689387"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.05.023"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jisako.2022.08.007"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010018\u20105072\u20106"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rboe.2018.09.007"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jisako.2024.100356"},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2025.02.015"},{"key":"e_1_2_3_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.08.019"},{"key":"e_1_2_3_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.03.059"},{"key":"e_1_2_3_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465241263599"},{"key":"e_1_2_3_13_1","doi-asserted-by":"crossref","unstructured":"Zabrzy\u0144skiJ. 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