Patients with injured anterior cruciate ligament(ACL)injuries often present with concomitant anterior lateral structures(ALS)damage or dysfunction.Sole ACL reconstruction is insufficient to restore static and dynamic rotational stability of the knee joint.Scholars have designed extra-articular procedures targeting the components of ALS,incorporating lateral extra-articular tenodesis,anterior lateral ligament reconstruction,and ALS reconstruction.For ACL reconstruction in high risk of failure patients,combined extra-articular reinforcement aids in improving knee joint rotational stability and reducing clinical failure rates.The authors of this article provided a review of recent studies on surgical indications,commonly used techniques,static biomechanical effects,kinematic effects,clinical outcomes,and potential risks of extra-articular reinforcement.
维普
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