Lateral Extra-articular Tenodesis Provides Similar Anterior Stability But Is Superior to Anterolateral Ligament Reconstruction for Internal Rotation Resistance When Combined With Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis

This meta-analysis demonstrated that LET provided superior resistance to internal rotation but was associated with a degree of overconstraint. No significant biomechanical differences in ATT were observed between LET and ALLR when combined with ACLR. ALLR effectively restored both ATT and internal tibial rotation resistance to near-native knee levels.