ACLR + LET: Overkill or the New Gold Standard? - #AMR381

Surgeons are adding more lateral extra-articular procedures to ACL reconstructions, especially in young cutting and pivoting athletes. On paper, it sounds great—tighten up the anterolateral side, improve stability, protect the graft. But what does that actually mean for clinical outcomes and for how we manage rehab? A new Level 1 systematic review and meta-analysis just pulled together the randomized trials comparing isolated ACL reconstruction to ACL reconstruction plus a lateral extra-articular procedure. The results raise important questions: Are these athletes truly more stable? Do we see fewer graft ruptures? And are we quietly trading those benefits for more pain, stiffness, or long-term joint issues? In this week’s podcast, we break down what the data really show, how it should influence your decision-making as a sports physical therapist, and what to watch for when an athlete walks in with a LET on their op note. Check out the full episode to hear how (and when) this should change your rehab approach. To see full show notes and more, head to: aclr-let-overkill-or-the-new-gold-standard / ---------- ACL Rehab Masterclass My new course on the complete guide to criteria-based ACL rehab testing in return to sport is almost here. Sign up for the presale list for a huge VIP discount and to be notified first: Click Here to View My Online Courses Want to learn more from me? I have a variety of online courses on my website! Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you. Support the show _____ Want to learn more? Check out my blog, podcasts, and online courses Follow me: Instagram | Twitter | Facebook | Youtube

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ACLR + LET: Overkill or the New Gold Standard? - #AMR381 is an episode from The Ask Mike Reinold Show by Mike Reinold.

This episode is 18:33 long.

This episode was published on Feb 19, 2026.

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