Extra-articular plasty with ACL reconstruction: Long-term results of associated procedure

Abstract

The aim of surgical management of the anterior cruciate ligament (ACL)-deficient knee is to restore knee stability, allowing return to activity and preventing secondary injury. Unfortunately, even in the face of technological advances in modern day ACL reconstruction, problems of persistent anterolateral rotational laxity exist. Recent research has therefore focused on the anterolateral structures and hence anterolateral reconstructions as a method to better control rotation. This paper provides an historical perspective on the use of lateral extra-articular reconstruction and where these procedures may be best utilised in todays ACL reconstruction algorithm.