{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T19:51:56Z","timestamp":1793389916980,"version":"4.5.0"},"reference-count":11,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Video Journal of Sports Medicine"],"published-print":{"date-parts":[[2023,9]]},"abstract":"\n Background:<\/jats:title>\n Combining an anterior cruciate ligament (ACL) reconstruction with an anterolateral ligament (ALL) reconstruction results in significant advantages including reduced graft rupture rates, a lower risk of reoperation for secondary meniscectomy, improved knee stability, and higher rates of return to preinjury levels of sport.<\/jats:p>\n <\/jats:sec>\n \n Indications:<\/jats:title>\n The previously reported indications for combined ACL and ALL reconstruction are as follows: ACL reconstruction revision; high-grade pivot shift test; long-term ACL rupture; young patients; pivoting activities; concomitant medial meniscus repair, and, specifically, regarding the ALL repair, it must be an acute surgery (within 15 days from injury).<\/jats:p>\n <\/jats:sec>\n \n Technique Description:<\/jats:title>\n Several modern techniques have been described to repair and reconstruct the ALL. This technical note details a number of these techniques performed by the Scientific Anterior Cruciate Ligament Network International (SANTI) Study Group.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n First, we describe a combined ACL reconstruction and double-bundle ALL reconstruction using hamstring autograft. Secondly, we describe a single-bundle ALL reconstruction using gracilis autograft. Thirdly, we describe an ALL reconstruction technique using a knotless soft anchor, which provides shallow fixation and prevents tunnel convergence. Finally, we describe a technique for ALL repair.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Several techniques have been described to repair and reconstruct the ALL, all offering significant advantages over an isolated ACL reconstruction.<\/jats:p>\n <\/jats:sec>\n \n Patient Consent Disclosure Statement:<\/jats:title>\n The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/26350254231176826","type":"journal-article","created":{"date-parts":[[2023,9,11]],"date-time":"2023-09-11T06:45:30Z","timestamp":1694414730000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["ALL Repair and Reconstruction: Techniques From the SANTI Study Group"],"prefix":"10.1177","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8770-6097","authenticated-orcid":false,"given":"Graeme P.","family":"Hopper","sequence":"first","affiliation":[{"name":"South Glasgow University Hospitals NHS Trust, NHS Greater Glasgow and Clyde, Glasgow, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1624-1824","authenticated-orcid":false,"given":"Thais Dutra","family":"Vieira","sequence":"additional","affiliation":[{"name":"Centre Orthop\u00e9dique Santy, FIFA Medical Centre of Excellence, Groupe Ramsay-G\u00e9n\u00e9rale de Sant\u00e9, Hopital Priv\u00e9 Jean Mermoz, Lyon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessando","family":"Carrozzo","sequence":"additional","affiliation":[{"name":"La Sapienza University of Rome, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edoardo","family":"Monaco","sequence":"additional","affiliation":[{"name":"La Sapienza University of Rome, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Claes","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery and Traumatology, AZ Herentals, Herentals, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adnan","family":"Saithna","sequence":"additional","affiliation":[{"name":"Arizona Brain, Spine & Sports Injuries Center, Scottsdale, Arizona, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camilo P.","family":"Helito","sequence":"additional","affiliation":[{"name":"University of Sao Paulo, Sao Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Etienne","family":"Cavaignac","sequence":"additional","affiliation":[{"name":"University of Toulouse, Toulouse, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6837-0425","authenticated-orcid":false,"given":"Bertrand","family":"Sonnery-Cottet","sequence":"additional","affiliation":[{"name":"Centre Orthop\u00e9dique Santy, FIFA Medical Centre of Excellence, Groupe Ramsay-G\u00e9n\u00e9rale de Sant\u00e9, Hopital Priv\u00e9 Jean Mermoz, Lyon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the SANTI Study Group\u2020\u2020","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,9,11]]},"reference":[{"key":"bibr1-26350254231176826","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2016.05.010"},{"key":"bibr2-26350254231176826","doi-asserted-by":"publisher","DOI":"10.1177\/2325967119852916"},{"key":"bibr3-26350254231176826","doi-asserted-by":"publisher","DOI":"10.1177\/03635465221092767"},{"key":"bibr4-26350254231176826","doi-asserted-by":"publisher","DOI":"10.1177\/03635465221085027"},{"key":"bibr5-26350254231176826","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-018-4934-2"},{"key":"bibr6-26350254231176826","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.03.059"},{"key":"bibr7-26350254231176826","doi-asserted-by":"publisher","DOI":"10.1177\/03635465221119186"},{"key":"bibr8-26350254231176826","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519831686"},{"key":"bibr9-26350254231176826","doi-asserted-by":"publisher","DOI":"10.1177\/03635465221128261"},{"key":"bibr10-26350254231176826","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.ST.17.00045"},{"key":"bibr11-26350254231176826","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211028990"}],"container-title":["Video 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