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The effect of combined anterolateral and ACL reconstruction on reducing pivot shift rate and clinical outcomes: A meta-analysis

Arthroscopy Oct 24, 2020

Xu C, Chen J, Cho E, et al. - This study was undertaken to ascertain if combined anterior cruciate ligament reconstruction (ACLR) and anterolateral ligament reconstruction (ALLR) will have better knee rotatory stability and postoperative clinical outcomes than ACLR alone. Researchers performed a computer literature in the databases involving MEDLINE (1982 to April 2020), EMBASE (1982 to April 2020), OVID (1982 to April 2020), and the Cochrane Library (1982 to April 2020), to screen all therapeutic trials on combined ACLR and ALLR vs isolated ACLR. The final meta-analysis included six clinical trials with 828 individuals. This study’s findings demonstrate that combined ALLR and ACLR could effectively augment knee rotatory stability by decreasing pivot shift rate, and moderately improving patient’s clinical outcomes. Nevertheless, the impact of ALLR on overall graft rupture rate cannot be verified.

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