Review ArticlesLateral Extra-articular Tenodesis in Anterior Cruciate Ligament ReconstructionGetgood, Alan MD; Moatshe, Gilbert MD, PhDAuthor Information Fowler Kennedy Sport Medicine Clinic London, London, ON, Canada Disclosure: The authors declare no conflict of interest. Reprints: Alan Getgood, MD, Fowler Kennedy Sport Medicine Clinic, 3M Centre, University of Western Ontario, 1151 Richmond Street London, ON N6A 3K7, Canada. Sports Medicine and Arthroscopy Review: June 2020 - Volume 28 - Issue 2 - p 71-78 doi: 10.1097/JSA.0000000000000278 Buy Metrics Abstract A subset of patients have residual rotational laxity following anterior cruciate ligament reconstruction (ACLR) despite the evolution of ACLR techniques. In recent years, there has been increased interest in addressing residual laxity because it is associated with poor outcomes after ACLR. There is an expanding body of knowledge on the anatomy and biomechanics of the anterolateral soft tissue restraints in regard to their rotational control of the knee and this has reignited an interest in extra-articular reconstruction techniques for augmenting ACLR. Reconstruction techniques currently used can be broadly categorized as either lateral extra-articular tenodesis or anterolateral ligament reconstruction. In this review, we discuss the relevant anatomy, biomechanics, and rationale behind the indications and technique of our current extra-articular augmentation procedure. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.