Abstract
The role of the anterolateral ligament as a secondary restraint to the anterior cruciate ligament in controlling tibial internal rotation and pivot shift is greatly debated today because biomechanical studies lead to conflicting results. However, extra-articular reconstructions used along with intra-articular reconstructions seem to be able to improve knee stability and reduce the rate of failure, especially when a graft other than bone–patellar tendon–bone is used as an anterior cruciate ligament substitute. For translational medicine, the task is to fill the gap between laboratory studies and clinical practice.
Published Version
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