ArticleCureus2026
Anterior Cruciate Ligament (ACL) Reconstruction With Lateral Meniscal Repair With and Without Lateral Extra-articular Tenodesis: A Prospective Comparative Study of Functional and Rotational Outcomes.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
4 authors.
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Abstract
Background Residual anterolateral rotatory instability (ALRI) following anterior cruciate ligament (ACL) reconstruction (ACLR) may adversely affect functional outcomes and graft stability. Lateral extra-articular tenodesis (LET) has been proposed as an adjunct to ACLR to improve rotational stability. This study aimed to compare functional and rotational outcomes following ACLR with lateral meniscal repair with or without LET. Methods This prospective comparative study included 40 patients with ACL injury and concomitant lateral meniscal tear. Patients were allocated to Group A (ACLR + lateral meniscal repair + LET; n = 20) or Group B (ACLR + lateral meniscal repair; n = 20). Allocation was non-randomized and based on clinical risk factors, with patients demonstrating greater rotational instability preferentially allocated to LET. Functional outcomes were assessed using the International Knee Documentation Committee (IKDC) rating, Knee Injury and Osteoarthritis Outcome Score (KOOS), and Lysholm score. Rotational stability was assessed using the pivot-shift test at 12 months. Within- and between-group comparisons were performed using paired- and independent-sample statistical tests, as appropriate. Results Both groups demonstrated significant postoperative improvement in functional outcomes. At 12 months, mean IKDC scores were 84.8 ± 7.6 in Group A and 76.1 ± 8.6 in Group B, while mean KOOS scores were 88.8 ± 4.7 and 81.6 ± 6.4, respectively (both
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