The 25‐year experience of over‐the‐top ACL reconstruction plus extra‐articular lateral tenodesis with hamstring tendon grafts: the story so far

This article presents with an evidence based approach, the kinematical rationale, biological evidence and the long term results of the "Over-The-Top" anterior cruciate ligament reconstruction with lateral plasty technique. This surgery was developed more than 25 years ago at the Rizzoli Institute by professor Marcacci and Zaffagnini and it is still widely performed in many orthopedic center worldwide.