Evidence map›Paper›PMID 41799400›Full record

ArticleJournal of experimental orthopaedics2026

Comparable outcomes following combined ACL and ALL reconstruction using a 1-strand versus 2-strand back-and-forth technique: Propensity score matched study.

Guillaume Andre, Damien Block, Olivier Gosselin, Jean Hennequin, ELSAN Working Group, Julien Uhring

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Article in Journal of experimental orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Guillaume AndreCOUBORTHO, Centre Coubertin/Hôpital-clinique Claude Bernard, ELSAN Metz France.
Damien BlockCOUBORTHO, Centre Coubertin/Hôpital-clinique Claude Bernard, ELSAN Metz France.
Olivier GosselinCOUBORTHO, Centre Coubertin/Hôpital-clinique Claude Bernard, ELSAN Metz France.
Jean HennequinCOUBORTHO, Centre Coubertin/Hôpital-clinique Claude Bernard, ELSAN Metz France.
ELSAN Working Group
Julien UhringCOUBORTHO, Centre Coubertin/Hôpital-clinique Claude Bernard, ELSAN Metz France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To compare post-operative laxity and clinical outcomes following combined anterior cruciate ligament (ACL) and anterolateral ligament (ALL) reconstruction with hamstring grafts using a 1-strand versus 2-strand back-and-forth technique. Methods: The authors retrospectively assessed a consecutive series of 348 patients (348 knees), that underwent combined ACL and ALL reconstruction using the 2-strand technique, and 130 patients (130 knees), that underwent combined ACL and ALL reconstruction using 1-strand technique between January 2020 and December 2022. Propensity score matching was performed to establish two comparable study cohorts. Patients underwent pre- and postoperative assessment by one observer using Knee injury and Osteoarthritis Outcome Score (KOOS-12), Lysholm, Tegner, and ACL-RSI scores. Physical examinations included a jerk test, and the attribution of a Lachman grade. Postoperatively, patients were assessed using the Dyneelax arthrometer on both knees to measure the differential laxity in anterior translation (AT) and internal rotation (IR). Results: Propensity score matching resulted in 70 patients in the 2-strand group, and 70 patients in 1-strand group. Post-operatively, 18 patients were lost to follow up, and five patients underwent revision surgery due to a retear. This left a final cohort of 58 patients in the 2-strand group, aged 30.5 ± 8.1 (range, 18-52), with a BMI of 25.8 ± 4.3 (range, 20-37.8), and 59 patients in the 1-strand group, aged 30.7 ± 10.7 (range, 15-55), with a BMI of 26.5 ± 3.9 (range 16.9-38.6). At a mean follow-up of 2.4 ± 0.4 years, there were no significant differences between the groups in terms of differential laxity in AT, IR, KOOS-12, ACL-RSI, Lysholm, Tegner scores, and retear rates. Conclusion: There was no significant difference between the 1- and 2-strand techniques for combined ACL and ALL reconstruction in terms of post-operative laxity, functional and clinical outcomes, including return to sport and Tegner activity level, suggesting that both techniques are equally effective in restoring knee stability and function. Level of Evidence: Level IV, case series.

Indexed as

ACLALLclinical outcomesdyneelaxknee laxityreconstruction techniques

Identifiers

PMID41799400
PMCPMC12966925

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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.