Lateral Extra-articular Tenodesis Reduces Rotational Laxity When Combined With Anterior Cruciate Ligament Reconstruction: A Systematic Review of the Literature

Combined Intra-articular and Extra-articular Reconstruction in Anterior Cruciate Ligament–Deficient Knee: 25 Years Later

“…14,23,[38][39][40][41][42][43][44] In their long-term follow-up study, Marcacci et al 36 concluded that combined reconstruction revealed highly satisfactory results in term of maintenance of knee stability with no higher risk of OA. Similar results were reported by Aït Si Selmi et al 32 and Lerat et al, 41 who reported a good outcome of anterior cruciate ligament reconstruction plus extraarticular tenodesis in the long term, particularly in knees with a preserved medial meniscus.…”

Extra-articular procedures for the ACL-deficient knee: a state of the art review

“…At about the same time, Hewison et al 36 conducted a systematic review on whether the addition of a lateral EAT reduced the pivot shift more than isolated intra-articular reconstruction alone. They also identified 8 randomised controlled trials that met their criteria, 6 of which were included in the Rezende study as well as 21 non-randomised studies.…”

“…A recent systematic review showed that an extra-articular procedure was effective at reducing the pivot shift and should be considered in patients with a markedly positive pivot shift test 36. Patients with large amounts of anterior translation in the lateral compartment may also benefit from the additional stability of the extra-articular procedure 37.…”

A New Reconstructive Technique of the Anterolateral Ligament with Iliotibial Band-Strip

“…A meta-analysis of outcome studies describing combined lateral extra-articular tenodesis (LEAT) and intra-articular ACL reconstruction confirmed that LEAT is effective in terms of reduction of pivot shift [11]. However, many techniques reconstruct the ALL in a non-anatomic manner or interfere with the anatomy and function of the lateral collateral ligament (LCL).…”