The anterolateral ligament of the knee joint: a review of the anatomy, biomechanics, and anterolateral ligament surgery
10.1186/s43019-019-0012-4
- Author:
Ji Hyun AHN
1
;
Nilay A PATEL
;
Charles C LIN
;
Thay Q LEE
Author Information
1. Department of Orthopaedic Surgery, Dongguk University Ilsan Hospital, 814 Siksadong, Ilsandonggu, Goyangsi, Gyeonggido 411-773, Korea. drsky71@duih.org
- Publication Type:Review
- From:The Journal of Korean Knee Society
2019;31(4):e12-
- CountryRepublic of Korea
- Language:English
-
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.
