ReviewKnee surgery & related research2021
Clinical outcomes of combined anterior cruciate ligament and anterolateral ligament reconstruction: a systematic review and meta-analysis.
Review in Knee surgery & related research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07451743 (Are Clinical Outcomes Unchanged by ALL Fixation at 0° or 30° of Knee Flexion in Combined ACL-ALL Reconstruction?), which is not on this map. Cited by 38 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Are Clinical Outcomes Unchanged by ALL Fixation at 0° or 30° of Knee Flexion in Combined ACL-ALL Reconstruction?
Who cites it
38 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.
- Three in every four systematic reviews and meta-analyses on concomitant anterior cruciate ligament reconstruction and anterolateral complex procedures present at least one type of spin in the abstract.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Pooled it
- Single-strand superficial medial collateral ligament reconstruction with a peroneus longus split graft provides reliable control of anteromedial rotatory instability combined with anterior cruciate ligament reconstruction: A 2-year clinical cohort study.Journal of experimental orthopaedics · 2026Article
- Femoral and tibial attachment positions of the anterolateral ligament graft are associated with anterior instability after combined anterior cruciate ligament and anterolateral ligament reconstruction.Knee surgery & related research · 2026Article
- Article
- Addition of anterolateral ligament reconstruction to primary hamstring autograft ACLR improves objective rotatory stability and reduces re-tear rates: a systematic review and meta-analysis.Knee surgery & related research · 2026Article
- Optimizing Drilling Orientation for the ALL Femoral Tunnel During Anterolateral Augmentation Procedures For Minimizing Collision With the ACL Tunnel Created Using Modified Transtibial Technique.Orthopaedic journal of sports medicine · 2026Article
- Short-Term Outcome of Combined Anterior Cruciate Ligament Reconstruction and Anterolateral Ligament Reconstruction with Suture Tape Augmentation.Journal of clinical medicine · 2025Article
- Optimizing return to sports after anterior cruciate ligament reconstruction: A multi-factorial umbrella review on rehabilitation strategies.Journal of clinical orthopaedics and trauma · 2025Review
- Combined Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction Using a Rectus Femoris Graft With Anterior Cruciate Ligament-Adjustable Cortical Suspensory Fixation and Single Femoral Tunnel.Arthroscopy techniques · 2025Article
- Impact of Anterolateral Ligament Femoral Tunnel Orientation on Tunnel Collision and Clinical Outcomes in Combined ACL and ALL Reconstruction.Orthopaedic journal of sports medicine · 2025Article
- Over-the-Loop Technique for Combined Anterior Cruciate Ligament Reconstruction and Modified Lemaire Tenodesis: Enhancing Rotational Stability With a Single Femoral Tunnel.Arthroscopy techniques · 2025Article
- Gracilis Anatomic Anterolateral Ligament Reconstruction: Technical Note.Arthroscopy techniques · 2025Article
- Transforming Bone Tunnel Evaluation in Anterior Cruciate Ligament Reconstruction: Introducing a Novel Deep Learning System and the TB-Seg Dataset.Bioengineering (Basel, Switzerland) · 2025Article
- Combined Reconstruction of the Anterior Cruciate Ligament and Anterolateral Ligament by Removing the Semitendinosus and Gracilis: A Simple, Reproducible Technique.Arthroscopy techniques · 2025Article
- Spin is Prevalent in Abstracts of Systematic Reviews and Meta-analyses of Anterolateral Ligament Reconstruction and Lateral Extra-Articular Tenodesis.Arthroscopy, sports medicine, and rehabilitation · 2025Review
- Outperformance of Combined Artificial Anterolateral Ligament and ACL Reconstruction Compared With Isolated Artificial ACL Reconstruction in Knees With Anterolateral Structure and ACL Deficiency: A Biomechanical Analysis.Orthopaedic journal of sports medicine · 2025Article
- Impact of Ligamentous Adhesion to the Posterior Cruciate Ligament on Radiological, Arthroscopic, and Clinical Outcomes One Year After ACL Reconstruction: A Cohort Study :.Galen medical journal · 2025Article
- Non-Anatomic Reconstruction in Multiligament Knee Injuries: A Functional Approach.Medicina (Kaunas, Lithuania) · 2025Article
- When Should I Be Associating a Lateral Extra-Articular Procedure to My Anterior Cruciate Ligament Reconstruction? AI vs. Surgeon Decision-Making.Advances in orthopedics · 2025Article
- Lateral extra-articular procedures combined with ACL reconstructions lead to a higher return to pre-injury level of sport: A systematic review and meta-analysis.Journal of experimental orthopaedics · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo compare the clinical outcomes of isolated anterior cruciate ligament (ACL) reconstruction with combined reconstruction of the ACL and anterolateral ligament (ALL) of the knee.
methodsA search was conducted on the PubMed, Medline, Google Scholar, EMBASE, and Cochrane library databases, in line with the PRISMA protocol. The indexation terms used were "anterior cruciate ligament" OR "acl" AND "anterolateral ligament" AND "reconstruction." Articles that compared patients submitted to combined ACL and ALL reconstruction with those submitted to isolated reconstruction of the ACL, with levels of evidence I, II, and III, were included. Studies with follow-up of less than 2 years and articles that did not use "anatomical" techniques for ALL reconstruction, such as extraarticular tenodesis, were excluded. A meta-analysis with R software was conducted, with a random effects model, presented as risk ratio (RR) or mean difference (MD), with a 95% confidence level (CI) and statistically significant at p < 0.05.
resultsTen articles were selected, with a total of 1495 patients, most of whom were men, of whom 674 submitted to ACL and ALL reconstruction and 821 to isolated ACL reconstruction. Combined ACL and ALL reconstruction exhibited a statistically significant advantage in residual pivot shift (RR 0.34, 95% CI 0.24-0.47, I
conclusionsCombined ACL and ALL reconstruction obtained better postoperative clinical outcomes when compared with isolated ACL reconstruction, especially in reducing residual pivot shift and rerupture rate.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.