Lateral extra-articular tenodesis protects high-risk patients from the risk of re-rupture and improves patient-reported outcomes after primary anterior cruciate ligament repair: A retrospective cohort study with ≥2-year follow up

Key Points

• Lateral extra-articular tenodesis improves functional recovery after anterior cruciate ligament repair, indicating a significant benefit for high-risk patients.
• Follow-up of at least 2 years showed that re-rupture rates in high-risk individuals became comparable to those in lower-risk patients with the same intervention.
• This retrospective cohort analysis included patients undergoing primary ACL repair plus a lateral tenodesis procedure and assessed both outcomes and performance.
• Improved patient-reported outcomes suggest that this combined approach may enhance long-term recovery and physical activity levels post-surgery.