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in the ALC. In this study, a distinct ligament could not be discerned in the ALC based on histology, immunohistochemistry and gene expression analysis. Controlled laboratory study. Controlled laboratory study. The optimal anterolateral procedure to control anterolateral rotational laxity of the knee is still unknown. The objective was to compare the ability of five anterolateral procedures performed in combination with anterior cruciate ligament reconstruction (ACLR) to restore native knee kinematics in the setting of a deficient anter