Consideration of lateral augmentation in anatomic anterior cruciate ligament reconstruction
Bibliographic record
Abstract
Anatomic intra-articular anterior cruciate ligament reconstruction (ACLR) techniques have been shown to reliably correct anteroposterior (translational) stability; however, they have failed to restore normal tibial rotational kinematics. Re-establishing rotational stability correlates with return to sport, functional scores, overall knee function and patient satisfaction. Several structures in addition to the ACL have been identified as important contributors to rotational knee stability. Recent interest in the anatomical and biomechanical properties of the anterolateral soft tissue structures has led to a resurgence in surgical techniques, specifically anterolateral ligament (ALL) reconstruction and lateral extra-articular tenodesis (LET), to address rotational stability at the time of ACL reconstruction. In the accompanying review we outline the relevant anatomy, biomechanics and clinical results for lateral augmentation procedures; discuss the indications and describe our preferred LET technique for lateral augmentation.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".