title: Surgical Indications and Technique for Anterior Cruciate Ligament Reconstruction Combined with Lateral Extra-articular Tenodesis or Anterolateral Ligament Reconstruction.
abstract: After anterior cruciate ligament (ACL) rupture, anteroposterior and rotational laxity in the knee causes instability, functional symptoms, and damage to other intra-articular structures. Surgical reconstruction aims to restore the stability in the knee, and to improve function and ability to participate in sports. It also protects cartilage and menisci from secondary injuries. Because of persistent rotational instability after ACL reconstruction, combined intra-articular and extra-articular procedures are more commonly performed. In this article, an overview of anatomy, biomechanical studies, current gold standard procedures, techniques, and research topics are summarized.
authors.affiliation: Department of Surgery, Fowler Kennedy Sport Medicine Clinic, Western University, 3M Centre, 1151 Richmond Street, London, Ontario N6A 3K7, Canada.
authors.forename: Bart
authors.initials: B
authors.lastname: Vundelinckx
authors.affiliation: Department of Surgery, Fowler Kennedy Sport Medicine Clinic, Western University, 3M Centre, 1151 Richmond Street, London, Ontario N6A 3K7, Canada.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Herman
authors.affiliation: Department of Surgery, Fowler Kennedy Sport Medicine Clinic, Western University, 3M Centre, 1151 Richmond Street, London, Ontario N6A 3K7, Canada.
authors.forename: Alan
authors.initials: A
authors.lastname: Getgood
authors.affiliation: Department of Surgery, Fowler Kennedy Sport Medicine Clinic, Western University, 3M Centre, 1151 Richmond Street, London, Ontario N6A 3K7, Canada. Electronic address: rlitchf@uwo.ca.
authors.forename: Robert
authors.initials: R
authors.lastname: Litchfield
mesh_terms: D016118:Anterior Cruciate Ligament / Q000033:anatomy & histology / Q000502:physiology / Q000503:physiopathology; D000070598:Anterior Cruciate Ligament Injuries / Q000503:physiopathology / Q000601:surgery*; D059549:Anterior Cruciate Ligament Reconstruction / Q000379:methods*; D001182:Arthroscopy / Q000379:methods; D001265:Athletic Injuries / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D007717:Knee / Q000502:physiology / Q000503:physiopathology; D008023:Ligaments, Articular / Q000502:physiology / Q000503:physiopathology; D053656:Tenodesis / Q000379:methods*
keywords: ACL reconstruction; Anterior cruciate ligament (ACL); Anterolateral ligament (ALL); Lateral extra-articular tenodesis (LET)