ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2024
Does combined anterior cruciate ligament and anterolateral ligament reconstruction improve return to sport?
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.
- Anterior Cruciate Ligament Reconstruction Using Lateral Extra-Articular Procedures: A Systematic Review.Medicina (Kaunas, Lithuania) · 2025Pooled it
- 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
- Large-sized grafts versus standard-sized grafts combined with anterolateral ligament reconstruction in ACL-deficient knees: a randomized controlled trial.Knee surgery & related research · 2026Article
- Comparison of autograft and allograft outcomes in adolescent ACL reconstruction: a propensity score analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Combined Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction Shows Reduced Graft Failure Rates and Superior Residual Rotational Stability Regardless of Anterolateral Ligament Reconstruction Graft: A Systematic Review.Journal of clinical medicine · 2025Review
- 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
- Higher Unilateral Muscle Imbalance at the Contralateral Knee 6 Months after Anterior Cruciate Ligament Reconstruction.Sports (Basel, Switzerland) · 2024Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeOnly 50-65% of patients return to their previous sporting level after ACL rupture. The literature reports a reduced rate of graft rupture when an anterolateral ligament reconstruction (ALLR) is associated with ACL reconstruction. ACL reconstruction combined with ALL allows a higher return to sport at pre-injury level than isolated reconstruction in patients playing pivot-contact sports.
methodsA retrospective, single-centre study between 2012 and 2020 comparing reconstruction by hamstring tendon technique, isolated ACLR vs ACL with ALLR. An isokinetic test was performed at 6 months post-operatively and patients were re-contacted at a minimum 2-year follow-up to assess their level and delay to return to sport, graft rupture rate and functional evaluation.
results83 patients were included, 42 in ACLR group and 41 in ACL + ALLR group. Four patients were lost to follow-up and 79 patients were analysed. No significant difference was found on the level of return to sport (28.2% vs. 42.5%; p = 0.18), return to competition (43% vs. 60%; p = 0.18), delay to sports return, isokinetic assessment, functional scores, but a significant difference was found on graft rupture rate in favour of ALLR (12.8% vs. 0%; p = 0.02).
conclusionIn our study, the addition of an ALL to ACL reconstruction did not improve pre-injury sports recovery or return to competition. STUDY
designCohort study, level of evidence 4.
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