Editorial Commentary: Ligamentous Hyperlaxity: A Decisive Factor for the Indication of a Combined Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction?

Indications for combined anterior cruciate ligament (ACL) and anterolateral ligament (ALL) reconstruction are not well defined, and the role of ligamentous hyperlaxity on anterolateral rotatory instability in an ACL-deficient knee remains unclear. Possible indications for combine ACL and ALL reconstruction might be a high-grade pivot shift, revision ACL reconstruction, patients with proven anterolateral knee pathology on preoperative imaging, and young patients participating in high-demand sport, and perhaps, finally, patients with ligamentous hyperlaxity as above.