Lateral Extra-Articular Tenodesis (LET) Anatomy in the Skeletally Immature – Can We Reconstruct the LET and Avoid Physeal Injury?

Hubert Tuyishime, Bryan Khoo, Katelin Isakoff, Luis Fernando Viegas de Moraes Leme, Alan Anaya Gallegos, Iris Cong, Paul Bergeron, Calvin Chan, Amishi Jobanputra, Stephanie Pearce, Yi-Meng Yen, Matthew Schmitz, Marc Tompkins, Philip Wilson, Molly Meadows, Charles Chan, Henry Ellis, Theodore Ganley, Kevin Shea

Orthopaedic Journal of Sports Medicine

Published online on June 17, 2026

Abstract

Orthopaedic Journal of Sports Medicine, Volume 14, Issue 6_suppl5, June 2026.
Background:The lateral extra-articular tenodesis (LET) is performed during ACL reconstruction to reduce graft failure and rotational laxity, particularly in pediatric patients with the highest risk of recurrent ACL tears. [1–3] Prior anatomic research in ...