A lateral extra-articular tenodesis (LET) with a modified Lemaire technique (MLT) in conjunction with anterior cruciate ligament reconstruction (ACLR) is associated with favorable patient-reported outcome at 2 years for adolescents at high risk for failed ACLR, according to a study presented at the annual meeting of the American Academy of Orthopaedic Surgeons. Frank A. Cordasco, MD, and colleagues reviewed a series of 61 patients aged 19 or younger at high risk for failed ACLR who underwent simultaneous ACLR and LET with a minimum of 2 years of follow-up. Most patients (N=59) participated in organized sports, including soccer, basketball, football, and lacrosse. Among patients who underwent revision ACLR procedures, 11% and 89% underwent all-epiphyseal and complete transphyseal techniques for ACLR, respectively. Additionally, 69% and 31% of cases employed full-thickness quadriceps tendon autograft and bone-patellar tendon-bone autograft, respectively. All patients underwent LET with MLT. The mean Single Assessment Numeric Evaluation score was 95; the median Pediatric International Knee Documentation Committee score was 91 and the median Hospital for Special Surgery Functional Activity Brief Scale score was 27 at 2 years. The rate of return-to-sport was 91.8%.