Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Orthop. Jun 18, 2026; 17(6): 119923
Published online Jun 18, 2026. doi: 10.5312/wjo.v17.i6.119923
Published online Jun 18, 2026. doi: 10.5312/wjo.v17.i6.119923
Early clinical outcomes of over-the-top anterior cruciate ligament reconstruction combined with lateral extra-articular tenodesis
Wan-Qing Qi, Yun-Qing Su, Qian-Ru Yao, Xian-Xiang Xiang, Department of Sports Medicine, Dalian University Affiliated Xinhua Hospital, Dalian 116021, Liaoning Province, China
Ya-Qing Zhao, Department of Orthopedics, Dalian University Affiliated Zhongshan Hospital, Dalian 116001, Liaoning Province, China
Co-first authors: Wan-Qing Qi and Ya-Qing Zhao.
Author contributions: Qi WQ and Zhao YQ contributed equally to this work; Qi WQ conceptualized, collated data, conducted form analysis, and drafted the original manuscript for this research; Zhao YQ conducted the investigation, methods, visualization, writing - review and editing for this research; Su YQ carried out data collection, literature search and manuscript revision for this research; Yao QR conducted data analysis, chart creation and final review and revision for this research.
Institutional review board statement: This research plan has been reviewed and approved by the Ethics Committee of Xinhua Hospital Affiliated to Dalian University (Ethical approval No: 2023-175-01).
Informed consent statement: All the enrolled patients were fully informed about the study content, risks and benefits, and voluntarily signed the written informed consent form.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
Data sharing statement: The datasets generated and analyzed during the current study are not publicly available due to the protection of patient privacy and confidentiality, but are available from the corresponding author on reasonable request.
Corresponding author: Xian-Xiang Xiang, PhD, Associate Professor, Deputy Director, Postdoc, Department of Sports Medicine, Dalian University Affiliated Xinhua Hospital, No. 156 Wansui Road, Dalian 116021, Liaoning Province, China. xiangxianxiang@dlu.edu.cn
Received: February 26, 2026
Revised: April 7, 2026
Accepted: April 22, 2026
Published online: June 18, 2026
Processing time: 122 Days and 16.7 Hours
Revised: April 7, 2026
Accepted: April 22, 2026
Published online: June 18, 2026
Processing time: 122 Days and 16.7 Hours
Core Tip
Core Tip: This study summarizes the clinical characteristics and treatment progress of patients with anterior cruciate ligament (ACL) tear accompanied by high grade pivot-shift test. We found that the over-the-top ACL reconstruction combined with lateral extra-articular tenodesis can effectively improve the clinical outcome and reduce complications, providing a reliable reference basis for the clinical diagnosis and treatment of ACL tear accompanied by high grade pivot-shift test.