Article Abstract

Anatomic anterior cruciate ligament (ACL) reconstruction vs. non-anatomic ACL reconstruction with lateral tenodesis

Authors: Gian Andrea Lucidi, Alberto Grassi, Tommaso Roberti di Sarsina, Luca Macchiarola, Stefano Zaffagnini


Anterior cruciate ligament (ACL) reconstruction is one of the most common knee surgical procedure. The overall outcome of the ACL-reconstruction is very satisfactory, however, some patients continue to experience dynamic instability and therefore reduced clinical outcome and lower return to sports rate even after a technically correct surgery. Different approaches have been proposed to address the rotatory instability: an anatomical ACL reconstruction or an intra-articular ACL reconstruction with an extra-articular augmentation or tenodesis (EAT). This review is focused on the historical and contemporary rationale of the combined procedure (EAT).