title: Combined Anterior and Anterolateral Stabilization of the Knee With the Iliotibial Band.
abstract: Interest and knowledge on the anatomy, function, and biomechanical properties of the anterolateral ligament has led to the recognition of the importance of this structure in rotational control of the knee. This article describes a technique that allows for a combined anterior cruciate ligament (ACL) and anterolateral reconstruction, using an Iliotibial band (ITB) autograft. The graft is detached from the vastus lateralis from proximal to distal, at the center portion from ITB, preserving its distal insertion on the Gerdy tubercle. Its width is 1 cm for the distal part, used for the anterolateral ligament reconstruction, and 3 cm for the proximal part. An outside-in femoral tunnel is drilled respecting both the preferred favorable isometric femoral insertion site and the femoral ACL footprint. An ACL reconstruction combined with a lateral tenodesis with a continuous ITB graft respects the anatomical and isometric rules providing superior internal rotational control of the knee in comparison with a stand-alone ACL reconstruction.
authors.affiliation: Clinique du Diaconat, ICOSS, Strasbourg, France.
authors.forename: Christian
authors.initials: C
authors.lastname: Lutz
authors.affiliation: Générale de santé, centre orthopédique Santy, hôpital privé Jean-Mermoz, Lyon, France.
authors.forename: Bertrand
authors.initials: B
authors.lastname: Sonnery-Cottet
authors.affiliation: ICAPS, institut de chirurgie articulaire et des pathologies du sport, St-Raphael, France.
authors.forename: Pierre
authors.initials: P
authors.lastname: Imbert
authors.affiliation: Générale de santé, centre orthopédique Santy, hôpital privé Jean-Mermoz, Lyon, France.
authors.forename: Nuno Camelo
authors.initials: NC
authors.lastname: Barbosa
authors.affiliation: Générale de santé, centre orthopédique Santy, hôpital privé Jean-Mermoz, Lyon, France.
authors.forename: Sanesh
authors.initials: S
authors.lastname: Tuteja
authors.affiliation: IM2S - Institut Monégasque de Médecine du Sport, Monaco, France.
authors.forename: Jean-Henri
authors.initials: JH
authors.lastname: Jaeger