SynthesisThe American journal of sports medicine2024
A Lateral Extra-articular Procedure Reduces the Failure Rate of Revision Anterior Cruciate Ligament Reconstruction Surgery Without Increasing Complications: A Systematic Review and Meta-analysis.
Synthesis in The American journal of sports medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 33 citations in OpenAlex.
- Three in every four systematic reviews and meta-analyses on concomitant anterior cruciate ligament reconstruction and anterolateral complex procedures present at least one type of spin in the abstract.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Pooled it
- No Evidence of Superior Graft Remodeling and Maturation When Adding a Lateral Extra-articular Procedure to Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis of Comparative Studies.The American journal of sports medicine · 2026Pooled it
- 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.The American journal of sports medicine · 2026Pooled it
- Comparative study between lateral extra-articular tenodesis versus anterolateral ligament reconstruction in combination with anterior cruciate ligament reconstruction.Journal of orthopaedic surgery and research · 2026Trial
- Two-year outcomes following concomitant ACL and extra-articular ligament reconstruction: a nationwide analysis of over 5,000 patients.Archives of orthopaedic and trauma surgery · 2026Article
- Does combined ACL primary augmentation with autograft reconstruction reduces risk of failure at 3-years follow-up compared to ACL reconstruction?Journal of experimental orthopaedics · 2026Article
- Lateral extra-articular procedures in primary anterior cruciate ligament reconstruction reduce graft failure rates in elite and competitive athletes: A systematic review.Journal of experimental orthopaedics · 2026Review
- Lateral Extra-articular Tenodesis Using Knotless All-Suture Anchor Fixation With Suture Tape: A Modified Technique for Augmenting Anterior Cruciate Ligament Reconstruction.Arthroscopy techniques · 2026Article
- Clinical outcomes and failure rates of combined 'Over-the-Top' anterior cruciate ligament reconstruction and lateral extra-articular tenodesis in a cohort of patients with an average age of 60 years.Journal of experimental orthopaedics · 2026Article
- Advances in anterior cruciate ligament reconstruction: Risk stratification, graft choices, and functional recovery in 2026.Journal of experimental orthopaedics · 2026Review
- A Cost-Effectiveness Analysis of the Addition of Autograft Lateral Extra-Articular Procedures to Primary Anterior Cruciate Ligament Reconstruction.Orthopaedic journal of sports medicine · 2026Article
- Using a Residual Pivot Shift as the Indication to Perform a Lateral Extra-articular Tenodesis During ACL Reconstruction Using Autologous Hamstring Grafts Is Associated With Improved Surgical Outcomes: A Retrospective Review of 4755 Cases.The American journal of sports medicine · 2026Article
- Role of lateral extra-articular tenodesis (LET) in anterior cruciate ligament-injured athletes.Annals of joint · 2026Review
- Simultaneous Backup Femoral-sided Anterior Cruciate Ligament Graft Fixation and Lateral Extra-Articular Tenodesis With Iliotibial Band Anchoring With Single-Suture Anchor.Arthroscopy techniques · 2025Article
- Combined Revision of Anterior Cruciate Ligament and Lateral Extra-Articular Procedure Using Rectus Femoris Autologous Graft.Arthroscopy techniques · 2025Article
- Minimally Invasive Lateral Extra-Articular Tenodesis Using a Hybrid All-Suture Anchor of the Knee.Arthroscopy techniques · 2025Article
- Non-Anatomic Reconstruction in Multiligament Knee Injuries: A Functional Approach.Medicina (Kaunas, Lithuania) · 2025Article
- Combined Anterolateral Ligament Reconstruction Results in Better Knee Stability and More Satisfactory Subjective Outcomes in Non-Athlete Patients Undergoing Revision Anterior Cruciate Ligament Reconstruction.Journal of clinical medicine · 2024Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLateral extra-articular procedures are becoming increasingly popular in association with anterior cruciate ligament (ACL) reconstruction, especially in patients with persistent rotatory instability and in a high-risk population. However, few studies have investigated the outcomes of the lateral extra-articular procedure as an associated procedure in an ACL revision (R-ACLR) setting and its benefit with respect to isolated intra-articular reconstruction. HYPOTHESIS: Lateral extra-articular procedures reduce the failure rate of revision ACL reconstruction (R-ACLR). PURPOSE: To compare subjective outcomes, knee stability, and failure and complication rates between patients who underwent ACL revision with and without an associated lateral extra-articular procedure. STUDY
designSystematic review and meta-analysis; Level of evidence, 3.
methodsA systematic search of the PubMed, Cochrane, and OVID databases was performed on September 2022 in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Eligible studies were trials directly comparing patients who had isolated ACL revision with patients who had ACL revision associated with lateral extra-articular procedures at a minimum follow-up of 2 years. A meta-analysis was performed, and bias and the quality of the evidence were rated according to the Newcastle-Ottawa Scale. The meta-analysis was conducted according to the PRISMA guidelines.
resultsEight studies were included: a total of 334 patients were treated with isolated revision (isolated (R-ACLR)) and 342 treated with combined revision and a lateral extra-articular procedure (combined (R-ACLR)). For the failure rate, the meta-analysis showed a significantly decreased relative risk reduction of 54% (
conclusionThe addition of a lateral extra-articular procedure to revision ACL significantly reduced the failure rate and postoperative pivot shift without increasing the complication rate. Anterolateral ligament reconstruction and a lateral extra-articular procedure with iliotibial band were effective in improving the outcomes of revision ACL reconstruction. Further high-level studies could help to clarify which subgroup of patients could particularly benefit from an anterolateral procedure in the context of ACL revision.
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