Peer-Reviewed Publication
Arthroscopy2026September 12, 2026Journal Article

Delphi Expert Consensus Identifies Revision Surgery, High-Grade Pivot Shift, and High-Risk Athletes in Pivoting Sports as Indications for Anterolateral Ligament Reconstruction or Lateral Extra-articular Procedures in Anterior Cruciate Ligament Reconstruction.

Erik Hohmann1, Andreas Imhoff2,3, Nicholas P J Perry4,
1Medical School, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
2Sports Orthopaedics, Orthopaedics and Traumatology, Department of Orthopaedic Sports Medicine, Technical University Hospital Rechts der Isar, Munich, Germany.
3Orthopedic Sports Program ADAM Vital Hospital AlGarhood Dubai, UAE.
4Naval Medical Center San Diego, San Diego, U.S.A.

Abstract

PURPOSE: To conduct a Delphi expert consensus on the biomechanics, indications and contraindications, surgical techniques, and complications associated with augmenting anterior cruciate ligament (ACL) reconstruction (ACLR) with either anterolateral ligament reconstruction (ALLR) or lateral extra-articular procedure (LEAP). METHODS: Forty panel members were included. In Round 1, the panel addresse…

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