{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T19:08:14Z","timestamp":1779476894647,"version":"3.53.1"},"reference-count":57,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T00:00:00Z","timestamp":1772668800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Posterolateral tibial fractures (PLTFs) are common concomitant injuries of an anterior cruciate ligament (ACL) rupture resulting in a loss of osseous support of the posterior horn of the lateral meniscus. It is unknown if the additional treatment of the PLTF brings a benefit in the treatment of symptomatic ACL-deficient knees.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To evaluate the kinematic effects of various reconstruction states in an ACL-deficient knee with PLTF, compared to the native knee.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Controlled laboratory study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Eight unpaired knees were tested using a 6 degrees of freedom robotic system equipped with a force-torque sensor in the following states: intact, ACL-deficient, ACL-deficient with PLTF, ACL reconstruction (ACLR) with PLTF, ACLR with lateral extra-articular tenodesis (LET) and PLTF, and ACLR with reconstructed PLTF states. Simulated laxity tests were performed at 0\u00b0, 30\u00b0, 60\u00b0, and 90\u00b0 of flexion under constant loading: anterior tibial translation (ATT), internal rotation (IR), and external rotation (ER). The simulated pivot-shift (PS) test was performed at 0\u00b0, 15\u00b0, 30\u00b0, and 45\u00b0 of flexion. A linear mixed model with post hoc Bonferroni corrections for multiple comparisons was performed for statistical analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Compared with the native state for ATT in 0\u00b0 to 90\u00b0, no ACLR state showed any significant differences. ACLR with reconstructed PLTF compared to the native state presented a significant increase in IR at 60\u00b0. ACLR with LET presented a significant reduction of IR at 30\u00b0 and 90\u00b0 compared to the native state. In the simulated PS test, the ACLR with reconstructed PLTF showed a significantly higher ATT compared with the native state at 15\u00b0 to 45\u00b0. In comparison, the ACLR with LET showed no significant differences to the native state at 0\u00b0 to 45\u00b0. In line with clinical and biomechanical literature, differences in ATT \u22653 mm and rotational changes \u22653\u00b0 were considered clinically meaningful thresholds.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>ACLR combined with LET provides superior restoration of anterior translational and rotational stability compared to ACLR alone or ACLR with PLTF repair, particularly in the PS test. Based on this biomechanical study, adding PLTF repair to ACLR for PLTFs \u22643 mm does not improve knee stability compared to standard ACLR alone.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance:<\/jats:title>\n                    <jats:p>From a biomechanical point of view, there is no indication that PLTF fragments \u22643 mm should be repaired when performing ACLR.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03635465261423212","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T10:16:46Z","timestamp":1773224206000},"page":"1365-1375","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Lateral Extra-articular Tenodesis Provides Superior Stability in ACL Reconstruction With Posterolateral Tibial Fracture"],"prefix":"10.1177","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0924-133X","authenticated-orcid":false,"given":"Gr\u00e9goire","family":"Th\u00fcrig","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery and Traumatology, Fribourg Cantonal Hospital, University of Fribourg, Fribourg, Switzerland"},{"name":"Articon Spezialpraxis f\u00fcr Gelenkchirurgie, Berner Prothetikzentrum, Salem-Spital, Bern, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0842-7006","authenticated-orcid":false,"given":"Niklas","family":"Braun","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery, University Hospital M\u00fcnster, M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5652-0692","authenticated-orcid":false,"given":"Elmar","family":"Herbst","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery, University Hospital M\u00fcnster, M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1643-5992","authenticated-orcid":false,"given":"Adrian","family":"Deichsel","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery, University Hospital M\u00fcnster, M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Klimek","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery, University Hospital M\u00fcnster, M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Raschke","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery, University Hospital M\u00fcnster, M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8507-5735","authenticated-orcid":false,"given":"Christoph","family":"Kittl","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery, University Hospital M\u00fcnster, M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,5]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s001670050215"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0040-1710386"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465221096464"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519895239"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519893709"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520932912"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2014.12.023"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-015-3772-8"},{"key":"e_1_3_2_10_2","volume-title":"Presented at ECR 2018","author":"Ciszkowska-\u0141yso\u0144 B","unstructured":"Ciszkowska-\u0141yso\u0144 B, Dominik B, Zdanowicz U, \u015amigielski R. 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