Ueki H, et al. - Authors evaluated the risk factors for residual pivot shift test after anterior cruciate ligament (ACL) reconstruction based on a multicenter prospective cohort study. Findings suggested that the risk factors for residual pivot shift at 1 year after ACL reconstruction were knee hyperextension and greater preoperative pivot shift under anesthesia. Consideration of additional anterolateral structure augmentation in cases with a preoperative high-grade pivot shift and knee hyperextension was suggested to eliminate pivot shift and eventually obtain better outcomes after ACL reconstruction.