ACL injury and reconstruction: Clinical related in vivo biomechanics.

Journal and index pages often block iframe embedding. This reader keeps the evidence details in Orthonotes and leaves the source page one click away.

Abstract

[Indexed for MEDLINE] 2. Medicina (Kaunas). 2022 Jun 10;58(6):786. doi: 10.3390/medicina58060786. Anatomy, Biomechanics, and Reconstruction of the Anterolateral Ligament of the Knee Joint. Park JG(1), Han SB(1), Lee CS(1), Jeon OH(2), Jang KM(1)(3). Author information: (1)Department of Orthopaedic Surgery, Anam Hospital, Korea University College of Medicine, Seoul 02841, Korea. (2)Department of Biomedical Sciences, Korea University College of Medicine, Seoul 02841, Korea. (3)Department of Sports Medical Center, Anam Hospital, Korea University College of Medicine, Seoul 02841, Korea. Despite remarkable advances in the clinical outcomes after anterior cruciate ligament reconstructions (ACLRs), residual rotational instability of the knee joint remains a major concern. Since the anterolateral ligament (ALL) on the knee joint has been "rediscovered", the role of anterolateral structures, including ALL and deep iliotibial band, as secondary stabilizers of anterolateral rotatory instability has gained interest. This interest has led to the resurgence of anterolateral procedures combined with ACLRs to restore rotational stability in patients with anterior cruciate ligament (ACL) deficiencies. However, the difference in concepts between anterolateral ligament reconstructions (ALLRs) as anatomical reconstruction and lateral extra-articular tenodesis (LETs) as non-anatomical reinforcement has been conflicting in present literature. This study aimed to review the anatomy and biomechanics of anterolateral structures, surgical techniques, and the clinical outcomes of anterolateral procedures, including LET and ALLR, in patients with ACL deficiencies. DOI: 10.3390/medicina58060786 PMCID: PMC9228568