Despite a suggestive trend of the ACLR–ALLR group toward a higher complication rate (OR = 1.56), the incidence of screw malposition, infection, pain, or arthrofibrosis was statistically comparable between ACLR and ACLR–ALLR procedures.
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Addition of anterolateral ligament reconstruction to primary hamstring autograft ACLR improves objective rotatory stability and reduces re-tear rates: a systematic review and meta-analysis.
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However, the p -value approaches statistical significance, suggesting a potential trend that may become evident in larger samples.
The flexion-based subgroup showed a statistically significant effect (OR = 0.31, p = 0.035, I 2 = 0%) whereas the extension-based subgroup demonstrated a similar trend (OR = 0.17), although this did not reach statistical significance.