Editorial Commentary: Anterolateral Reconstruction Versus Lateral Extra-Articular Tenodesis-Six of One and Half a Dozen of the Other?

Abstract

Over the past several years, there has been a resurgence of interest in the anterolateral side of the anterior cruciate ligament-injured knee. The 2 most commonly techniques on the anterolateral side for surgically controlling residual rotational instability are anterolateral ligament reconstruction and modified Lemaire lateral extra-articular tenodesis. Several biomechanical studies have shown no or only subtle differences between the 2 procedures. It is time to advance from the biomechanical analyses and direct future work to clinical studies focusing on improving patient selection, surgical morbidity, and longer-term outcomes.