March 16, 2026 · Orthopaedic journal of sports medicine · DOI: 10.1177/23259671251407259

A Cost-Effectiveness Analysis of the Addition of Autograft Lateral Extra-Articular Procedures to Primary Anterior Cruciate Ligament Reconstruction

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The authors aimed to evaluate the cost-effectiveness of augmenting anterior cruciate ligament reconstruction (ACLR) with autograft lateral extra-articular procedures (LEAP). Their analysis found that while LEAP increases both the cost and operating time of ACLR, it remains cost-effective, with an incremental cost-effectiveness ratio of $25,313 per quality-adjusted life year (QALY), well below the $50,000/QALY threshold. This suggests that LEAP is a viable option for patients who qualify for such augmentation.

Juan Bernardo Villareal-Espinosa, Omar Shalakhti, Morgan Angotti, Andrew S Bi, Zeeshan Khan, Melissa Carpenter, Rodrigo Saad-Berreta, Felipe Casanova, Nikhil N Verma, Jorge Chahla

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