Anterior Cruciate Ligament Reconstruction in Combination With an Extra-Articular Tenodesis

Stefano Zaffagnini, Tommaso Roberti Di Sarsina, Luca Macchiarola, Alberto Grassi, Federico Raggi, Cecilia Signorelli, Maurilio Marcacci

Research output: Contribution to journalArticlepeer-review


Rotatory instability of the knee is very often associated with the anteroposterior laxity in the anterior cruciate ligament (ACL)-deficient knee and it is most probably caused by lesions of the anterolateral structures such as the capsule and anterolateral ligament. If underdiagnosed or undertreated with isolated ACL reconstruction, this residual instability may lead to reinjury of premature arthritis. This article focuses on the role of lateral extra-articular tenodesis in reestablishing dynamic stability when performed together with ACL reconstruction; then it describes our preferred surgical technique, which always associates ACL and lateral extra-articular tenodesis, and discusses it with other surgical options described in literature.

Original languageEnglish
Pages (from-to)145-150
Number of pages6
JournalOperative Techniques in Orthopaedics
Issue number2
Publication statusAccepted/In press - 2017


  • ACL
  • Extra-articular plasty
  • Knee
  • Single-bundle

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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