Lateral Extra-articular Tenodesis Provides Superior Stability in ACL Reconstruction With Posterolateral Tibial Fracture.

Key Points

• To evaluate the biomechanical stability provided by lateral extra-articular tenodesis during ACL reconstruction with posterolateral tibial fractures.
• Biomechanical assessment of lateral extra-articular tenodesis during ACL reconstruction.
• Focus on stability in the presence of posterolateral tibial fracture fragments.
• Analysis of fragments sized 3 mm or less.
• Lateral extra-articular tenodesis demonstrated enhanced stability compared to standard techniques.
• No significant biomechanical justification for repairing fragments ≤3 mm during ACL reconstruction.