Extra-articular reconstruction in the anterior cruciate ligament deficient knee: a commentary

The conclusions of the consensus conference organized in 1989 by the AOSSM in Snow mass on the Extra-articular reconstrucions in ACL deficient knee were reviewed in the light of the more recent advances in surgical techniques and rehabilitation. While most of the statements validated by the experts related to the use of ERs used in isolation and in adolescente patients have been confirmed by following studies, this paper pointed out that, on the contrary, the use of ERs in association with intra-articular reconstruction should be reconsidered and should be of great value in selected cases in order to improve knee stability, reduce rate of failure with no increased risk of complications and late degenerative osteoarthritis.