One hundred and sixty-four patients with anterior cruciate ligament (ACL) ruptures were randomized to receive an ACL reconstruction augmented with either a lateral extracapsular tenodesis (LET) procedure or a modified iliotibial band tenodesis (MITBT) procedure. The outcomes of interest included the Tegner activity score, the ACL Quality of life (ACL QoL) Score, Knee Injury and Osteoarthritis Outcomes Scores (KOOS), and the rate of recurrence. Outcomes were assessed up to 2 years post-operation. Results revealed significantly favourable Tegner activity scores and a lower rate of medial meniscal tear and recurrent ACL tear in the MITBT group at 2 years. Moreover, ACL QoL scores, KOOS sports/rec scores, and KOOS quality of life scores were in favour of the MITBT group at 1 and 2 years. The KOOS activity of daily living score was in favour of the MITBT group at 1-year post-operation only.