Objective: Residual instability may persist after isolated anterior cruciate ligament (ACL) reconstruction. Anterolateral ligament (ALL) augmentation has been suggested to enhance stability, though its clinical utility remains uncertain.Methods: This retrospective cohort study included 60 patients: 30 underwent isolated ACL reconstruction and 30 underwent combined ACL+ALL reconstruction.
Outcomes included clinical stability, functional scores (IKDC, Lysholm), return-to-sport parameters, satisfaction, and complications with a mid-term follow-up of ≥12 months. The study was approved by the institutional non-interventional ethics committee.Results: Baseline demographic and perioperative characteristics were comparable between groups.
Postoperatively, the ACL+ALL group showed lower pivot-shift positivity (7% vs. 27%, p=0.04), higher IKDC and Lysholm scores at 12 months (p