Combined Open-Anterolateral Ligament and Anterior Cruciate Ligament Reconstruction of the Knee: The "Open-ALL".

Abreu, Felipe Galvão; Chamoux, Julien; Barrera Uso, Marc; Cardarelli, Silvia; Borojeni, Anahita; Kluyskens, Louis; Vieira, Thais Dutra; Sonnery-Cottet, Bertrand · Arthrosc Tech · 2025

case_report · Level V

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Abstract

The addition of an extra-articular reinforcement, such as the anterolateral ligament (ALL) or a Lemaire's procedure, in anterior cruciate ligament reconstructions has shown good clinical results, with greater graft protection and a lower rerupture rate. Despite being a reproducible procedure, its application in cases of large, muscled knees or in obese patients can be challenging. This Technical Note describes the "Open-ALL" technique, using a mini-open approach for a combined anterior cruciate ligament and ALL reconstruction.

Anatomy