Anterolateral Ligament of the Knee: Back to the Future in Anterior Cruciate Ligament Reconstruction.
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.
Department of Orthopedics and Traumatology, CTO Hospital, University of Turin , Italy.
Davide Edoardo
DE
Bonasia
Department of Orthopedics and Traumatology, CTO Hospital, University of Turin , Italy.
Andrea
A
D'Amelio
Department of Orthopedics and Traumatology, CTO Hospital, University of Turin , Italy.
Pietro
P
Pellegrino
Department of Orthopedics and Traumatology, Mauriziano Umberto I Hospital, University of Turin , Italy.
Federica
F
Rosso
Department of Orthopedics and Traumatology, Mauriziano Umberto I Hospital, University of Turin , Italy.
Roberto
R
Rossi
Anterolateral ligament; anterior cruciate ligament; knee; reconstruction