Lateral Extra-Articular Procedure (LEAP) Consensus Statements for 2026

Bruce A. Levy, MD (Orlando, FL), leads a discussion with panelists Matt Daggett, DO, MBA (Kansas City, MO); Seth L. Sherman, MD (Redwood City, CA); and Patrick A. Smith, MD (Naples, FL). The panel reviews evidence-based factors for adding a lateral extra-articular procedure (LEAP) during anterior cruciate ligament (ACL) reconstruction, emphasizing risk factors such as graft choice, high-grade laxity, hyperextension, youth, participation in pivoting sports, and revision status.