{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T06:01:11Z","timestamp":1790402471649,"version":"4.1.0"},"reference-count":26,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:00:00Z","timestamp":1790294400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:00:00Z","timestamp":1790294400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["arthrosc. tech."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Recent studies on the anatomy and biomechanics of the anterolateral ligament (ALL) have highlighted its fundamental role in rotational control of the knee. These findings have led to the integration of its reconstruction into anterior cruciate ligament (ACL) reconstruction strategies, in order to improve management of residual pivot shift and optimize knee stability. This article describes a minimally invasive technique for ALL reconstruction, independent of the ACL. The procedure is based on the use of a pedicled autograft of the gracilis tendon. The ALL reconstruction follows a pedicled approach, ensuring optimal anatomical and biomechanical restoration. The graft is first directed to the distal insertion of the native ALL on the tibia, equidistant between Gerdy's tubercle and the head of the fibula, then routed to its femoral insertion, passing deep under the iliotibial band, next back on itself before being redirected to its initial point of emergence in the tibial tunnel. After fixation at the femoral level, tibial anchoring is performed in full extension to optimize isometry.<\/jats:p>","DOI":"10.1002\/atn2.70044","type":"journal-article","created":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T05:55:52Z","timestamp":1790402152000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Independent Anatomic Double\u2010Bundle Anterolateral Ligament Reconstruction Using a Pedicled Gracilis Graft During Anterior Cruciate Ligament Reconstruction"],"prefix":"10.1002","author":[{"given":"Ibrahim","family":"Marzouki","sequence":"first","affiliation":[{"name":"Chirurgie Orthop\u00e9dique et Traumatologique Hospices Civils de Lyon, H\u00f4pital Lyon Sud  Lyon France"},{"name":"University Lyon, Claude Bernard Lyon  Villeurbanne France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Viste","sequence":"additional","affiliation":[{"name":"Chirurgie Orthop\u00e9dique et Traumatologique Hospices Civils de Lyon, H\u00f4pital Lyon Sud  Lyon France"},{"name":"University Lyon, Claude Bernard Lyon  Villeurbanne France"},{"name":"LBMC UMR_T9406 University, Gustave Eiffel University, IFSTTAR  Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Neri","sequence":"additional","affiliation":[{"name":"Chirurgie Orthop\u00e9dique et Traumatologique Hospices Civils de Lyon, H\u00f4pital Lyon Sud  Lyon France"},{"name":"University Lyon, Claude Bernard Lyon  Villeurbanne France"},{"name":"LBMC UMR_T9406 University, Gustave Eiffel University, IFSTTAR  Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,25]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1302\/0301-620X.96B3.33033","article-title":"The anterolateral ligament: Anatomy, length changes and association with the Segond fracture","volume":"96","author":"Dodds AL","year":"2014","journal-title":"Bone Joint J."},{"key":"e_1_2_6_3_1","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1007\/s00402-016-2617-3","article-title":"Anatomic dissection of the anterolateral ligament (ALL) in paired fresh\u2010frozen cadaveric knee joints","volume":"137","author":"Roessler PP","year":"2017","journal-title":"Arch Orthop Trauma Surg."},{"key":"e_1_2_6_4_1","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1177\/0363546514562751","article-title":"The biomechanical function of the anterolateral ligament of the knee","volume":"43","author":"Parsons EM","year":"2015","journal-title":"Am J Sports Med."},{"key":"e_1_2_6_5_1","doi-asserted-by":"crossref","first-page":"1575","DOI":"10.1016\/j.arthro.2017.03.009","article-title":"Anterolateral ligament reconstruction techniques, biomechanics, and clinical outcomes: A systematic review","volume":"33","author":"DePhillipo 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ligamentization?","volume":"23","author":"Lee BI","year":"2016","journal-title":"Knee."},{"key":"e_1_2_6_9_1","doi-asserted-by":"crossref","first-page":"232596711350507","DOI":"10.1177\/2325967113505076","article-title":"ACL reconstruction preserving the ACL remnant achieves good clinical outcomes and can reduce subsequent graft rupture","volume":"1","author":"Takazawa Y","year":"2013","journal-title":"Orthop J Sports Med."},{"key":"e_1_2_6_10_1","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1177\/0363546512471614","article-title":"Therapeutic advantage in selective ligament augmentation for partial tears of the anterior cruciate ligament: Results in an animal model","volume":"41","author":"Mifune Y","year":"2013","journal-title":"Am J Sports Med."},{"key":"e_1_2_6_11_1","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1055\/s-0038-1660513","article-title":"The effect of remnant tissue preservation in anatomic double\u2010bundle ACL reconstruction on knee stability 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Radiol."},{"key":"e_1_2_6_15_1","doi-asserted-by":"crossref","first-page":"1475","DOI":"10.1016\/j.arthro.2014.05.039","article-title":"The Segond fracture: A bony injury of the anterolateral ligament of the knee","volume":"30","author":"Claes S","year":"2014","journal-title":"Arthroscopy."},{"key":"e_1_2_6_16_1","doi-asserted-by":"crossref","first-page":"3383","DOI":"10.1007\/s00330-015-4171-8","article-title":"Anterolateral ligament abnormalities in patients with acute anterior cruciate ligament rupture are associated with lateral meniscal and osseous injuries","volume":"26","author":"Van Dyck P","year":"2016","journal-title":"Eur Radiol."},{"key":"e_1_2_6_17_1","doi-asserted-by":"crossref","first-page":"3652","DOI":"10.1007\/s00167-018-4934-2","article-title":"Combined reconstruction of the anterolateral ligament in chronic ACL injuries leads to better clinical outcomes than isolated ACL reconstruction","volume":"26","author":"Helito CP","year":"2018","journal-title":"Knee Surg 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