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Anterolateral Complex Reconstruction Augmentation of Anterior Cruciate Ligament Reconstruction

Biomechanics, Indications, Techniques, and Clinical Outcomes

Lau, Brian C. MD1; Rames, Jess BS2; Belay, Elshaday MD1; Riboh, Jonathan C. MD1; Amendola, Annunziato MD1; Lassiter, Tally MD, MBA1

doi: 10.2106/JBJS.RVW.19.00011
Review Articles

  • » Injury to the anterolateral complex may be identified on advanced imaging and may manifest with a higher level of instability, in particular with pivot-shift testing.
  • » The anterolateral ligament reconstruction or modified Lemaire procedure may be used to reconstruct the anterolateral complex of the knee to augment anterior cruciate ligament (ACL) reconstruction.
  • » Indications for anterolateral ligament reconstruction are evolving, but relative indications include revision ACL reconstruction, grade-III pivot shift, generalized ligamentous laxity, young age (<20 years), or high-level or high-demand athlete.
  • » Early outcomes have suggested that anterolateral ligament augmentation of ACL reconstruction may decrease the risk of re-tear of the ACL reconstruction.

1Duke Sport Science Institute, Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina

2Duke University Medical School, Durham, North Carolina

Email address for B.C. Lau:

Investigation performed at Duke University Medical Center, Durham, North Carolina

Disclosure: The authors indicated that no external funding was received for any aspect of this work. On the Disclosure of Potential Conflicts of Interest forms, which are provided with the online version of the article, one or more of the authors checked “yes” to indicate that the author had a relevant financial relationship in the biomedical arena outside the submitted work (

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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