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» Injury to the anterolateral complex may be identified on advanced imaging and may manifest with a higher level of instability, in particular with pivot-shift testing. » The anterolateral ligament reconstruction or modified Lemaire procedure may be used to reconstruct the anterolateral complex of the knee to augment anterior cruciate ligament (ACL) reconstruction. » Indications for anterolateral ligament reconstruction are evolving, but relative indications include revision ACL reconstruction, grade-III pivot shift, generalized ligamentous laxity, young age (<20 years), or high-level or high-demand athlete. » Early outcomes have suggested that anterolateral ligament augmentation of ACL reconstruction may decrease the risk of re-tear of the ACL reconstruction.
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Lau et al. (2019) studied this question.
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