March 23, 2026 · Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association · DOI: 10.1002/arj.70110

Editorial Commentary: Fourteen-Year Follow-Up Shows High Overall Incidence of Osteoarthritis With Anatomic Single-Bundle and Double-Bundle Anterior Cruciate Ligament Reconstruction: Perform an Anatomic Reconstruction but Also Save the Meniscus!

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The authors examine the long-term outcomes of anatomic single-bundle and double-bundle anterior cruciate ligament reconstructions (ACLRs) in relation to the incidence of post-traumatic osteoarthritis, particularly emphasizing the role of meniscus injuries. They highlight the need for further research on the impact of meniscus repair during ACLR to potentially reduce the high rates of osteoarthritis observed in patients. The commentary suggests that addressing meniscal tears is crucial for improving overall knee health post-surgery.

Benjiman J Wilebski, Ethan R Sawyer, Taylor J Freetly, Christopher M LaPrade

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