Combined Open-Anterolateral Ligament and Anterior Cruciate Ligament Reconstruction of the Knee: the “Open-All”

The addition of an extra-articular reinforcement, such as the anterolateral ligament (ALL) or a Lemaire’s procedure, in anterior cruciate ligament reconstructions has shown good clinical results, with greater graft protection and a lower rerupture rate. Despite being a reproducible procedure, its application in cases of large, muscled knees or in obese patients can be challenging. This Technical Note describes the “Open-ALL” technique, using a mini-open approach for a combined anterior cruciate ligament and ALL reconstruction.