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Anterolateral Ligament of the Knee: Back to the Future in Anterior Cruciate Ligament Reconstruction.

Bonasia DE, D'Amelio A, Pellegrino P, Rosso F, Rossi R - Orthop Rev (Pavia) (2015)

Bottom Line: Although the importance of the anterolateral stabilizing structures of the knee in the setting of anterior cruciate ligament (ACL) injuries has been recognized since many years, most of orthopedic surgeons do not take into consideration the anterolateral structures when performing an ACL reconstruction.For this reason, some researchers have turned again towards the anterolateral aspect of the knee and specifically the anterolateral ligament.The goal of this review is to summarize the existing knowledge regarding the anterolateral ligament of the knee, including anatomy, histology, biomechanics and imaging.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedics and Traumatology, CTO Hospital, University of Turin , Italy.

ABSTRACT
Although the importance of the anterolateral stabilizing structures of the knee in the setting of anterior cruciate ligament (ACL) injuries has been recognized since many years, most of orthopedic surgeons do not take into consideration the anterolateral structures when performing an ACL reconstruction. Anatomic single or double bundle ACL reconstruction will improve knee stability, but a small subset of patients may experience some residual anteroposterior and rotational instability. For this reason, some researchers have turned again towards the anterolateral aspect of the knee and specifically the anterolateral ligament. The goal of this review is to summarize the existing knowledge regarding the anterolateral ligament of the knee, including anatomy, histology, biomechanics and imaging. In addition, the most common anterolateral reconstruction/tenodesis techniques are described together with their respective clinical outcomes.

No MeSH data available.


Related in: MedlinePlus

Lemaire Technique. A) A 1 cm wide band of fascia lata is harvested, maintaining its distal insertion. B) The fascia lata band is passed under the LCL and a semi-circular tunnel is created on the lateral aspect of the distal femur. C) The graft is passed through the tunnel and stitched back to itself.
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fig003: Lemaire Technique. A) A 1 cm wide band of fascia lata is harvested, maintaining its distal insertion. B) The fascia lata band is passed under the LCL and a semi-circular tunnel is created on the lateral aspect of the distal femur. C) The graft is passed through the tunnel and stitched back to itself.

Mentions: Over the years, several different techniques of ALL reconstruction have been described either as an extra-articular procedure isolated or combined with intra-articular ACL reconstruction. In 1967, Lemaire described a completely extra-articular procedure to treat chronic ACL deficient knees.26 With the Lemaire’s procedure, the purpose is to span the outside lateral portion of the knee joint with a soft tissue band, which controls the rotational instability. A 1-cm wide band of fascia lata is harvested, maintaining its distal insertion on the tibia (Figure 3). A semi-circular tunnel is created on the lateral aspect of the distal femur. The fascia lata band is passed under the LCL and through the tunnel. The fascia lata band is then tightened and stitched back to itself (Figure 3).


Anterolateral Ligament of the Knee: Back to the Future in Anterior Cruciate Ligament Reconstruction.

Bonasia DE, D'Amelio A, Pellegrino P, Rosso F, Rossi R - Orthop Rev (Pavia) (2015)

Lemaire Technique. A) A 1 cm wide band of fascia lata is harvested, maintaining its distal insertion. B) The fascia lata band is passed under the LCL and a semi-circular tunnel is created on the lateral aspect of the distal femur. C) The graft is passed through the tunnel and stitched back to itself.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4508556&req=5

fig003: Lemaire Technique. A) A 1 cm wide band of fascia lata is harvested, maintaining its distal insertion. B) The fascia lata band is passed under the LCL and a semi-circular tunnel is created on the lateral aspect of the distal femur. C) The graft is passed through the tunnel and stitched back to itself.
Mentions: Over the years, several different techniques of ALL reconstruction have been described either as an extra-articular procedure isolated or combined with intra-articular ACL reconstruction. In 1967, Lemaire described a completely extra-articular procedure to treat chronic ACL deficient knees.26 With the Lemaire’s procedure, the purpose is to span the outside lateral portion of the knee joint with a soft tissue band, which controls the rotational instability. A 1-cm wide band of fascia lata is harvested, maintaining its distal insertion on the tibia (Figure 3). A semi-circular tunnel is created on the lateral aspect of the distal femur. The fascia lata band is passed under the LCL and through the tunnel. The fascia lata band is then tightened and stitched back to itself (Figure 3).

Bottom Line: Although the importance of the anterolateral stabilizing structures of the knee in the setting of anterior cruciate ligament (ACL) injuries has been recognized since many years, most of orthopedic surgeons do not take into consideration the anterolateral structures when performing an ACL reconstruction.For this reason, some researchers have turned again towards the anterolateral aspect of the knee and specifically the anterolateral ligament.The goal of this review is to summarize the existing knowledge regarding the anterolateral ligament of the knee, including anatomy, histology, biomechanics and imaging.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedics and Traumatology, CTO Hospital, University of Turin , Italy.

ABSTRACT
Although the importance of the anterolateral stabilizing structures of the knee in the setting of anterior cruciate ligament (ACL) injuries has been recognized since many years, most of orthopedic surgeons do not take into consideration the anterolateral structures when performing an ACL reconstruction. Anatomic single or double bundle ACL reconstruction will improve knee stability, but a small subset of patients may experience some residual anteroposterior and rotational instability. For this reason, some researchers have turned again towards the anterolateral aspect of the knee and specifically the anterolateral ligament. The goal of this review is to summarize the existing knowledge regarding the anterolateral ligament of the knee, including anatomy, histology, biomechanics and imaging. In addition, the most common anterolateral reconstruction/tenodesis techniques are described together with their respective clinical outcomes.

No MeSH data available.


Related in: MedlinePlus