Description
This retrospective study compared the effectiveness of combined anterior cruciate ligament (ACL) and anterolateral ligament (ALL) reconstruction versus isolated ACL reconstruction in treating severe knee instability. Conducted from June 2016 to August 2022 with 181 patients, the study categorized participants based on their treatment: combined ACL/ALL reconstruction for severe pivot shift cases (ALLR group), isolated ACL reconstruction for severe pivot shift cases (ACLR group), and isolated ACL reconstruction for less severe cases (C group). Measurements included preoperative, intraoperative, and one-year postoperative knee instability using rolimeters and inertial sensors. Results indicated that while both the ALLR and ACLR groups showed significant initial instability, improvements were seen across all groups one year postoperatively, with no significant differences. The study concludes that combined ACL/ALL reconstruction may offer better stabilization in severe cases of knee instability, highlighting the potential benefits of concurrent interventions in these patients.
