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The anterolateral ligament of the knee joint: a review of the anatomy, biomechanics, and anterolateral ligament surgery

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초록

Residual knee instability and low rates of return to previous sport are major concerns after anterior cruciate ligament (ACL) reconstruction. To improve outcomes, surgical methods, such as the anatomical single-bundle technique or the double-bundle technique, were developed. However, these reconstruction techniques failed to adequately overcome these problems, and, therefore, new potential answers continue to be of great interest. Based on recent anatomical and biomechanical studies emphasizing the role of the anterolateral ligament (ALL) in rotational stability, novel surgical methods including ALL reconstruction and anterolateral tenodesis have been introduced with the possibility of resolving residual instability after ACL reconstruction. However, there is still little consensus on many aspects of the ALL, including: several anatomical issues, appropriate indications for ALL surgery, and the optimal surgical method and graft choice for reconstruction surgery. Therefore, further studies are necessary to advance our knowledge of the ALL and its contribution to knee stability.

Abstract

Residual knee instability and low rates of return to previous sport are major concerns after anterior cruciate ligament (ACL) reconstruction. To improve outcomes, surgical methods, such as the anatomical single-bundle technique or the double-bundle technique, were developed. However, these reconstruction techniques failed to adequately overcome these problems, and, therefore, new potential answers continue to be of great interest. Based on recent anatomical and biomechanical studies emphasizing the role of the anterolateral ligament (ALL) in rotational stability, novel surgical methods including ALL reconstruction and anterolateral tenodesis have been introduced with the possibility of resolving residual instability after ACL reconstruction. However, there is still little consensus on many aspects of the ALL, including: several anatomical issues, appropriate indications for ALL surgery, and the optimal surgical method and graft choice for reconstruction surgery. Therefore, further studies are necessary to advance our knowledge of the ALL and its contribution to knee stability.

참고문헌 (45)

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Biomechanical function of the anterolateral ligament of the knee: a systematic review서영진, 양재혁, Jin Kyu Lee, Soo-Young Jeong대한슬관절학회 · Knee Surgery and Related Research2020 · 제32권 An eponymous history of the anterolateral ligament complex of the kneeAllison M Morgan, Andrew S Bi, Daniel J Kaplan, Eric J. Strauss, Laith M. Jazrawi, Michael J Alaia대한슬관절학회 · Knee Surgery and Related Research2022 · 제34권 Clinical outcomes of combined anterior cruciate ligament and anterolateral ligament reconstruction: a systematic review and meta‑analysisAriel de Lima Diego, de Lima Lana Lacerda, de Moraes Perez Rodrigo Amorim, de Souza Nayara Gomes Reis, Guimarães Tales Mollica, Helito Camilo Partezani, Sobrado Marcel Faraco대한슬관절학회 · Knee Surgery and Related Research2021 · 제33권 It is challenging to reproduce both anatomical and functional aspects of anterolateral reconstruction: postoperative 3D‑CT analysis of the femoral tunnel positionDohyung Lim, Dong Jin Ryu, Joo Hwan Kim, Joon Ho Wang, Minji Kim, Seoyeong Kim, Won Jae Kim대한슬관절학회 · Knee Surgery and Related Research2024 · 제36권 Current Trends in Anterior Cruciate Ligament Reconstruction김하성, 선종근, 조아름대한슬관절학회 · Knee Surgery and Related Research2013 · 제25권 제4호Functional results of multiple revision anterior cruciate ligament with anterolateral tibial tunnel associated with anterolateral ligament reconstructionAndre Giardino Moreira da Silva, Camilo Partezani Helito, Gilberto Luis Camanho, José Ricardo Pécora, Marcel Faraco Sobrado, Tales Mollica Guimarães대한슬관절학회 · Knee Surgery and Related Research2022 · 제34권

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