PEDIATRIC ORTHOPAEDICS
2026 COA: Safety of Lateral Extra-Articular Tenodesis with ACL Reconstruction in Pediatric Patients .
OrthoEvidence Journal (OE Journal) - ACE Report
Epub Ahead of Print
9 studies involving 317 patients (318 knees) were included in this systematic review and meta-analysis evaluating lateral extra-articular tenodesis (LET) as an additional treatment to anterior cruciate ligament reconstruction (ACLR) in pediatric and skeletally immature patients. Pooled outcomes included graft re-rupture rates, return to sport (RTS), patient-reported outcome measures, complications, and growth disturbances. Overall, compared with isolated ACLR, ACLR+LET was associated with significantly lower graft re-rupture rates and significantly higher RTS rates. These findings suggest that LET is a safe treatment to ACLR in young patients and may improve graft survivorship while maintaining excellent rates of return to sport.
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