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Open AccessJournal ArticleDOI

Anatomy and Histology of the Knee Anterolateral Ligament

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TLDR
The anterolateral ligament (ALL) may be important in maintaining normal rotatory limits of knee motion; ALL rupture could be responsible for rotatory laxity after isolated intra-articular reconstruction of the ACL.
Abstract
Background:Reconstruction of the anterior cruciate ligament (ACL) is one of the most common procedures in orthopaedic surgery. However, even with advances in surgical techniques and implants, some ...

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Citations
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Journal ArticleDOI

Outcome of a Combined Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction Technique With a Minimum 2-Year Follow-up

TL;DR: This study demonstrates that a combined reconstruction can be an effective procedure without specific complications at a minimum follow-up of 2 years and is demonstrated to improve the results of ACL treatment.
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Anterolateral Ligament Reconstruction Is Associated With Significantly Reduced ACL Graft Rupture Rates at a Minimum Follow-up of 2 Years: A Prospective Comparative Study of 502 Patients From the SANTI Study Group:

TL;DR: In a high-risk population of young patients participating in pivoting sports, the rate of graft failure with HT+ALL grafts was 2.5 times less than with B-PT-B grafts and 3.1 timesLess than with 4HT grafts, which is associated with higher odds of returning to preinjury levels of sport.
Journal ArticleDOI

The Anterolateral Ligament An Anatomic, Radiographic, and Biomechanical Analysis

TL;DR: The biomechanical analysis suggests that most traditional soft tissue grafts are sufficient for ALL reconstruction, and defined ALL attachment locations can be reproducibly identified with intraoperative landmarks or radiographs.
Journal ArticleDOI

The Role of the Anterolateral Structures and the ACL in Controlling Laxity of the Intact and ACL-Deficient Knee

TL;DR: To determine the contribution of each anterolateral structure and the ACL in restraining simulated clinical laxity in both the intact and ACL-deficient knee, a 6 degrees of freedom robot with a universal force-moment sensor was used.
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The anterolateral complex of the knee: results from the International ALC Consensus Group Meeting.

TL;DR: Clinical evidence is currently lacking to support clear indications for lateral extra-articular procedures as an augmentation to ACL reconstruction, and areas of needed basic science and clinical research are identified to help improve patient outcomes following ACL injury and subsequent reconstruction.
References
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Journal ArticleDOI

The anterolateral ligament of the human knee: an anatomic and histologic study

TL;DR: The anterolateral ligament may play a role in preventing anterior tibial translation and the role, if any, of this structure in meniscal stability and the pathology of meniscal tears remain unclear.
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The anatomy of the iliopatellar band and iliotibial tract

TL;DR: The iliopatellar band provides stabilization of the patella against a medially directed force and is dynamically influenced by the vastus lateralis, and the relationship of the iliotibial tract to extraarticular reconstructions of the knee with anterolateral rotatory instability is discussed.
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The effect of medial versus lateral meniscectomy on the stability of the anterior cruciate ligament-deficient knee.

TL;DR: Although the medialMeniscus functions as a critical secondary stabilizer to anteriorly directed forces on the tibia during a Lachman examination, the lateral meniscus appears to be a more important restraint to anterior tibial translation during combined valgus and rotatory loads applied during a pivoting maneuver.
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Prospective Randomized Clinical Evaluation of Conventional Single-Bundle, Anatomic Single-Bundle, and Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction: 281 Cases With 3- to 5-Year Follow-up

TL;DR: Anatomic double-bundle ACL reconstruction is significantly superior to conventional single-b Bundle ACL reconstruction and better than anatomic single- bundle reconstruction.
Journal ArticleDOI

An anatomic study of the iliotibial tract.

TL;DR: The iliotibial tract can be considered as an anterolateral knee stabilizer, particularly its capsular-osseous layer, which, together with the anterior cruciate ligament, constitutes a functional unit forming a spatial "horseshoe" form.
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