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World J Clin Cases. Aug 26, 2022; 10(24): 8463-8473
Published online Aug 26, 2022. doi: 10.12998/wjcc.v10.i24.8463
Graft choices for anterolateral ligament knee reconstruction surgery: Current concepts
Byron Chalidis, Charalampos Pitsilos, Dimitrios Kitridis, Panagiotis Givissis
Byron Chalidis, Dimitrios Kitridis, Panagiotis Givissis, 1st Orthopaedic Department, Aristotle University of Thessaloniki, School of Medicine, Thessaloniki 57010, Greece
Charalampos Pitsilos, 2nd Orthopaedic Department, Aristotle University of Thessaloniki, School of Medicine, Thessaloniki 54635, Greece
Author contributions: Chalidis B and Kitridis D designed the research; Pitsilos C analyzed the data; Chalidis B and Pitsilos C wrote the paper; Givissis P supervised the paper; All authors read and approved the final manuscript.
Conflict-of-interest statement: There is no conflict of interest associated with any of the senior author or other coauthors contributed their efforts in this manuscript.
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: Byron Chalidis, MD, PhD, Assistant Professor, 1st Orthopaedic Department, Aristotle University of Thessaloniki, School of Medicine, Exohi, Thessaloniki 57010, Greece. byronchalidis@gmail.com
Received: March 21, 2022
Peer-review started: March 21, 2022
First decision: June 7, 2022
Revised: June 26, 2022
Accepted: July 18, 2022
Article in press: July 18, 2022
Published online: August 26, 2022
Core Tip

Core Tip: There is no convincing evidence regarding the biomechanical and functional superiority of either lateral extraarticular tenodesis or anterolateral ligament reconstruction procedures during anterior cruciate ligament reconstruction. Although hamstrings remain the most common graft choice for anterolateral ligament reconstruction, other autografts as well as allografts and synthetic grafts have been applied. Further research and comparative studies should be carried out to identify the most effective graft material and technique for the restoration of rotational knee stability in the presence of residual instability after anterior cruciate ligament reconstruction.