stdClass Object
(
    [id] => 17977
    [paper_index] => 202510-01-024683
    [title] => ADVANCES IN ACL RECONSTRUCTION: COMBINED INTRA- AND EXTRA-ARTICULAR APPROACH, BIOLOGICAL FOUNDATIONS, AND LONG-TERM OUTCOMES
    [description] => 
    [author] => Esteban Eugenio Iñiguez Avila, Bryam Esteban Coello García , Charles Joel Maldonado Borja
    [googlescholar] => 
    [doi] => https://doi.org/10.36713/epra24683
    [year] => 2025
    [month] => October
    [volume] => 11
    [issue] => 10
    [file] => fm/jpanel/upload/2025/November/202510-01-024683.pdf
    [abstract] => Introduction: anterior cruciate ligament (ACL) injuries cause rotational instability and can affect return to sports. Combined intra- and extra-articular reconstruction, including the anterolateral ligament (ALL), has emerged as an alternative to improve knee stability.
Objective: to detail the current evidence on ACL reconstruction, considering its relationship with the ALL, rotational stability, surgical management, and return to physical activity.
Methodology: twenty-five articles were analyzed, including reviews, original studies, and clinical cases, of which 13 were used for their relevance. The sources of information were PubMed, Google Scholar, and Cochrane, using terms in Spanish, Portuguese, and English related to ACL, LLA, and combined reconstruction.
Results: combined ACL and LLA reconstruction showed greater rotational stability as measured by the pivot shift test, with no significant differences in complications, pain, joint function, or graft survival compared to isolated reconstruction.
Conclusions: combined intra- and extra-articular reconstruction improves the rotational stability of the knee, promoting a safer return to sport, and is especially recommended in patients at risk of residual instability.

    [keywords] => Anterior Cruciate Ligament; Anterolateral Ligament; Combined Reconstruction; Rotational Stability; Knee; Return To Sport. 
    [doj] => 2025-11-02
    [hit] => 
    [status] => 
    [award_status] => P
    [orderr] => 118
    [journal_id] => 1
    [googlesearch_link] => 
    [edit_on] => 
    [is_status] => 1
    [journalname] => EPRA International Journal of Multidisciplinary Research (IJMR)
    [short_code] => IJMR
    [eissn] =>  2455-3662 (Online)
    [pissn] => - --
    [home_page_wrapper] => images/products_image/11.IJMR.png
)
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