{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T19:26:04Z","timestamp":1793820364717,"version":"4.6.1"},"reference-count":32,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"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":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Despite reduced graft failure rates reported in randomized controlled trials comparing anterior cruciate ligament reconstruction (ACL-R) with and without lateral extra-articular tenodesis (LET), the impact of LET on postoperative patient-reported outcomes (PROs) remains poorly defined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To compare short-term PROs, as well as anterior cruciate ligament (ACL) revision rates and clinical failure rates (defined as Knee injury and Osteoarthritis Outcome Score [KOOS] Quality of Life [QoL] value &lt;44) between patients undergoing primary ACL-R with and without concomitant LET.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Cohort study; Level of evidence, 3.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Data were extracted from the Swedish Knee Ligament Registry for all patients undergoing primary ACL-R between January 1, 2005, and June 25, 2025. Patients who underwent ACL-R + LET were matched to patients who underwent ACL-R without LET using 1:4 matching based on age, sex, body mass index, graft type, time from injury to reconstruction, and concomitant meniscal and cartilage injury status. The primary outcomes were KOOS values at the 1- and 2-year follow-ups.<\/jats:p>\n                    <jats:p>Secondary outcomes included revision ACL-R and clinical failure within 1 and 2 years. Categorical variables were compared using Fisher exact or chi-square tests, continuous variables were compared using Fisher nonparametric permutation tests, and within-group KOOS changes were compared using Wilcoxon signed-rank tests. Adjusted 1- and 2-year KOOS Symptoms comparisons for baseline differences and outcomes were interpreted relative to published minimal clinically important difference thresholds.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      After matching, the final cohort consisted of 870 patients: 174 in the ACL-R + LET group and 696 in the ACL-R group. There were no significant between-group differences in KOOS\n                      <jats:sub>4<\/jats:sub>\n                      (mean of the Symptoms, Pain, Sports and Recreation, and QoL subscales) scores at the 1-year (77.7 \u00b1 15.2 for ACL-R + LET vs 78.8 \u00b1 14.9 for ACL-R) or 2-year (79.9 \u00b1 16.7 for ACL-R + LET vs 80.7 \u00b1 13.4 for ACL-) follow-up (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &gt; .5). Both groups demonstrated significant within-group improvements in KOOS\n                      <jats:sub>4<\/jats:sub>\n                      scores from baseline through the 2-year follow-up (all\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2264 .002). ACL revision rates at 2 years were 2.3% and 2.4% in the ACL-R + LET and ACL-R groups, respectively. Rates of clinical failure at 2 years were similar between groups (25.5% for ACL-R + LET vs 25.6% for ACL-R;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &gt; .99).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In this matched-cohort registry study, the addition of LET to primary ACL-R did not demonstrate superior short-term PROs at 1 or 2 years postsurgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03635465261456637","type":"journal-article","created":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T06:44:42Z","timestamp":1782456282000},"page":"2389-2398","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Short-term Patient-Reported Outcomes After Primary Anterior Cruciate Ligament Reconstruction With and Without Lateral Extra-articular Tenodesis: A Matched-Cohort Analysis From the Swedish Knee Ligament Registry"],"prefix":"10.1177","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8645-9386","authenticated-orcid":false,"given":"James A.","family":"Pruneski","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Tripler Army Medical Center, Honolulu, Hawaii, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B\u00e1lint","family":"Zsidai","sequence":"additional","affiliation":[{"name":"Sahlgrenska Sports Medicine Center, Gothenburg, Sweden"},{"name":"Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden"},{"name":"Department of Orthopaedics, Sk\u00e5ne University Hospital, Malm\u00f6\/Lund, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felix","family":"\u00d6ttl","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Balgrist University Hospital, University of Z\u00fcrich, Zurich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0204-9221","authenticated-orcid":false,"given":"Kristian","family":"Heder Ternell","sequence":"additional","affiliation":[{"name":"Sahlgrenska Sports Medicine Center, Gothenburg, Sweden"},{"name":"Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden"},{"name":"Department of Orthopaedics, Sahlgrenska University Hospital, M\u00f6lndal, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riccardo","family":"Cristiani","sequence":"additional","affiliation":[{"name":"Department of Molecular Medicine and Surgery, Section of Sports Medicine, Karolinska Institutet, Stockholm, Sweden"},{"name":"Stockholm Sports Trauma Research Center (SSTRC), FIFA Medical Centre of Excellence, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Volker","family":"Musahl","sequence":"additional","affiliation":[{"name":"Sahlgrenska Sports Medicine Center, Gothenburg, Sweden"},{"name":"Department of Orthopaedic Surgery, UPMC Freddie Fu Sports Medicine Center, Pittsburgh, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric Hamrin","family":"Senorski","sequence":"additional","affiliation":[{"name":"Sahlgrenska Sports Medicine Center, Gothenburg, Sweden"},{"name":"Unit of Physiotherapy, Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden"},{"name":"Sportrehab Sports Medicine Clinic, Gothenburg, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristian","family":"Samuelsson","sequence":"additional","affiliation":[{"name":"Sahlgrenska Sports Medicine Center, Gothenburg, Sweden"},{"name":"Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden"},{"name":"Department of Orthopaedics, Sahlgrenska University Hospital, M\u00f6lndal, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Horvath","sequence":"additional","affiliation":[{"name":"Sahlgrenska Sports Medicine Center, Gothenburg, Sweden"},{"name":"Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden"},{"name":"Department of Orthopaedics, Sahlgrenska University Hospital, M\u00f6lndal, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,25]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512457348"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520914936"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.25.00068"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2016.03.010"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231192983"},{"key":"e_1_3_2_7_2","article-title":"Lateral extra-articular procedures reduce the risk of revision of anterior cruciate ligament reconstruction in elite athletes: a systematic review and meta-analysis of comparative studies","volume":"2026","author":"D\u2019Ambrosi R","unstructured":"D\u2019Ambrosi R, Carrozzo A, Monaco E, et al. Lateral extra-articular procedures reduce the risk of revision of anterior cruciate ligament reconstruction in elite athletes: a systematic review and meta-analysis of comparative studies. Am J Sports Med. 2026:03635465251376655.","journal-title":"Am J Sports Med"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0907797"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/ksa.12116"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519896333"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-014-2925-5"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.3109\/17453670903350107"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2017-098191"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518759543"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465241304781"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40634-021-00369-4"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967120959020"},{"issue":"3","key":"e_1_3_2_18_2","first-page":"311","article-title":"Ruptures anciennes du ligament croise anterieur du genou","volume":"93","author":"Lemaire M.","year":"1967","unstructured":"Lemaire M. Ruptures anciennes du ligament croise anterieur du genou. J Chir. 1967;93(3):311-320.","journal-title":"J Chir"},{"key":"e_1_3_2_19_2","volume-title":"The Person-Number Systems of Sweden, Norway, Denmark, and Israel","author":"Lunde AS.","year":"1980","unstructured":"Lunde AS. The Person-Number Systems of Sweden, Norway, Denmark, and Israel. Vol 80. US Department of Health and Human Services; 1980."},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2022-105497"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211004946"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-50.10.07"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2017-098674"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-015-3969-x"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.1998.28.2.88"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2025.06.011"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jisako.2024.05.001"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2011.01.010"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517749850"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1002\/ksa.12460"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211062609"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61602-X"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465241309282"}],"container-title":["The American Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03635465261456637","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/03635465261456637","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03635465261456637","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T18:35:56Z","timestamp":1793817356000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/03635465261456637"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,25]]},"references-count":32,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1177\/03635465261456637"],"URL":"https:\/\/doi.org\/10.1177\/03635465261456637","relation":{},"ISSN":["0363-5465","1552-3365"],"issn-type":[{"value":"0363-5465","type":"print"},{"value":"1552-3365","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,25]]}}}