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©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Jul 18, 2022; 13(7): 662-675
Published online Jul 18, 2022. doi: 10.5312/wjo.v13.i7.662
Published online Jul 18, 2022. doi: 10.5312/wjo.v13.i7.662
Clinical and mechanical outcomes in isolated anterior cruciate ligament reconstruction vs additional lateral extra-articular tenodesis or anterolateral ligament reconstruction
Nikhil Agarwal, Department of Trauma and Orthopaedics, University of Aberdeen, Aberdeen AB24 3FX, United Kingdom
Jaibaji Monketh, Health Education England North East, Newcastle Upon Tyne NE15 8NY, United Kingdom
Andrea Volpin, Department of Trauma and Orthopaedics, NHS Grampian, Elgin IV30 1SN, United Kingdom
Author contributions: Monketh J and Agarwal N analyzed the data and wrote the manuscript; Volpin A designed the research study and reviewed the manuscript; and All authors have read and approve the final manuscript.
Conflict-of-interest statement: The authors declare no conflicts of interest or funding towards this manuscript.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Andrea Volpin, MD, Surgeon, Department of Trauma and Orthopaedics, NHS Grampian, Pluscarden Rd, Elgin IV30 1SN, United Kingdom. andrea.volpin@nhs.scot
Received: December 27, 2021
Peer-review started: December 27, 2021
First decision: April 6, 2022
Revised: April 13, 2022
Accepted: July 11, 2022
Article in press: July 11, 2022
Published online: July 18, 2022
Peer-review started: December 27, 2021
First decision: April 6, 2022
Revised: April 13, 2022
Accepted: July 11, 2022
Article in press: July 11, 2022
Published online: July 18, 2022
Core Tip
Core Tip: Either lateral extra-articular tenodesis (LET) or anterolateral ligament reconstruction (ALLR) should be utilized with anterior cruciate ligament (ACL) reconstruction (ACLR) in patients with rotational instability, to confer greater stability. Either technique, together with ACLR, leads to superior mechanical outcomes, in comparison to ACLR alone. Both techniques reduce risk of ACL re-rupture, compared to isolated ACLR, with ALLR having lower rates than LET.