Podium Presentation Title: Lateral Extra-Articular Procedures Significantly Reduce ACL Graft Rupture Rates in Elite Alpine Skiers

The purpose of this study was to determine whether elite alpine skiers undergoing anterior cruciate ligament reconstruction (ACLR) combined with a lateral extra-articular procedure had lower rate ACL graft rupture when compared those who underwent isolated ACLR. Elite from the French National Ski Team undergone reconstruction, or without (LEAP), and minimum follow-up 2 years, were identified national ski team database. Rates secondary injury determined by interrogation database; medical notes review final telemedicine interview. A multivariate analysis using penalized Cox model performed explore relationship between rupture, surgical type any potential explanatory variables. Among 81 ACLR procedures analyzed, 50 in an manner (isolated group) 31 LEAP (ACLR+LEAP group), which either modified Lemaire anterolateral (ALLR). Graft rates 34.0% group 6.5% ACLR+LEAP group. Multivariate demonstrated that adding significantly reduced risk (Hazard Ratio (HR) = 5.286, IC 95% [1.068; 26.149], P .0412). Age (HR 1.114, .1157), Gender 1.573, .3743) Type 1.417, .5394) not found be significant factors. Combined confer 5-fold reduction athletes. Those treated remained at extremely high second injury.