Combined Anterior Cruciate Ligament Reconstruction, Posterolateral Corner Reconstruction, and Lateral Extra-Articular Tenodesis

Abstract

Over the past decade, renewed interest in the anterolateral ligament complex (ALC) has led to a significant increase in use of the lateral extra-articular tenodesis (LET) procedure. An emerging body of literature suggests that LET augmentation may be beneficial for patients undergoing primary and revision anterior cruciate ligament (ACL) reconstruction, particularly those with a higher risk of reinjury based on preoperative factors. Although limited data are available to guide the use of LET beyond isolated ACL injury, anterolateral procedures may have a role in conjunction with ACL reconstruction in the setting of a multi-ligament knee surgery. This article details our technique for performing a modified Lemaire LET procedure with iliotibial band autograft concomitantly with reconstruction of the ACL and posterolateral corner.