Objective: Aim of this study is to assess the functional and clinical outcome of combined ALL and ACL reconstruction in ACL deficient knees .
Methods: A prospective study, held between January 2018 and July 2019 where Twelve patients included with either: chronic ACL lesion, grade III positive pivot shift test, revision surgery, Segond fracture and operated with arthroscopic anatomic single bundle ACL reconstruction associated with ALL reconstruction using modified Lemaire technique of extra-articular tenodesis. Patients were evaluated pre- and postoperative clinically and using Lysholm score form.
Results: at a meat follow-up of 7.25 ± 1.91 months, clinical evaluation showed statistically significant improvement, with excellent control of post-operative rotational instability and PST and good functional results
Conclusion:. Extra articular tenodesis using modified Lemaire technique is a simple method for reconstruction of ALL and preventing ALRI which could occurs after isolated ACLR. When indicated combined ALL and ACL reconstruction shows good functional results and excellent results in preventing postoperative residual pivot shift phenomenon and residual instabilities with no specific complication noted.