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Editorial commentary highlights considerations and potential risks of augmenting ACL reconstruction in skeletally immature patients, indicating careful technique is vital.
The addition of lateral extra‐articular procedures in conjunction with anterior cruciate ligament injuries in selected patients appears to reduce the risk of graft failure and persistent rotational instability. In skeletally immature patients, the close proximity between the growth plate, the anterior cruciate ligament tunnel, and the extra‐articular tenodesis attachment site provides an important reminder that the promise of lateral extra‐articular procedures is not without risk. As lateral extra‐articular procedures becomes more popular, proper surgical technique is equally critical to proper reporting and monitoring of potential complications and outcomes.
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Paschos et al. (2026) studied this question.
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