ACL reconstruction combined with lateral monoloop tenodesis can restore intact knee laxity.
Koen C LagaeJoris RobberechtKiron K AthwalPeter C M VerdonkAndrew A AmisPublished in: Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA (2020)
Cutting the deep fibres of the ITB caused large increases in tibial internal rotation laxity across the range of knee flexion, while cutting the ALL alone did not. With ACL deficiency combined with anterolateral deficiency, ACL reconstruction alone was insufficient to restore native knee rotational laxity. However, combining a 'monoloop' lateral extra-articular tenodesis with ACL reconstruction did restore native knee laxity.