%0 Journal Article %T Avoiding Graft Failure: Lessons Learned from the Stability Trial. %A Getgood AMJ %J Clin Sports Med %V 43 %N 3 %D 2024 Jul %M 38811116 %F 2.186 %R 10.1016/j.csm.2023.08.005 %X The Stability Study was a multicenter, pragmatic, parallel groups, randomized clinical trial comparing hamstring tendon autograft anterior cruciate ligament reconstruction with or without the addition of lateral extra-articular tenodesis in young patients at high risk of graft failure. Having recruited 618 patients with a 5% loss to follow up, we were able to demonstrate a clinically and statistically significant reduction in clinical failure and graft rupture at 2 years postoperative. No differences in patient-reported outcomes (PROs) were demonstrated between groups; however, patients who experienced an adverse event had significantly worse PROs than those who did not.