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Volume 58
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Review

Anatomy, Biomechanics, and Reconstruction of the Anterolateral Ligament of the Knee Joint

by
Jun-Gu Park
1,
Seung-Beom Han
1,
Chul-Soo Lee
1,
Ok Hee Jeon
2 and
Ki-Mo Jang
1,3,*
1
Department of Orthopaedic Surgery, Anam Hospital, Korea University College of Medicine, Seoul 02841, Korea
2
Department of Biomedical Sciences, Korea University College of Medicine, Seoul 02841, Korea
3
Department of Sports Medical Center, Anam Hospital, Korea University College of Medicine, Seoul 02841, Korea
*
Author to whom correspondence should be addressed.
Medicina 2022, 58(6), 786; https://doi.org/10.3390/medicina58060786
Submission received: 6 May 2022 / Revised: 6 June 2022 / Accepted: 9 June 2022 / Published: 10 June 2022
(This article belongs to the Special Issue Evolving Concepts in Knee Surgery)
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Abstract

Despite remarkable advances in the clinical outcomes after anterior cruciate ligament reconstructions (ACLRs), residual rotational instability of the knee joint remains a major concern. Since the anterolateral ligament (ALL) on the knee joint has been “rediscovered”, the role of anterolateral structures, including ALL and deep iliotibial band, as secondary stabilizers of anterolateral rotatory instability has gained interest. This interest has led to the resurgence of anterolateral procedures combined with ACLRs to restore rotational stability in patients with anterior cruciate ligament (ACL) deficiencies. However, the difference in concepts between anterolateral ligament reconstructions (ALLRs) as anatomical reconstruction and lateral extra-articular tenodesis (LETs) as non-anatomical reinforcement has been conflicting in present literature. This study aimed to review the anatomy and biomechanics of anterolateral structures, surgical techniques, and the clinical outcomes of anterolateral procedures, including LET and ALLR, in patients with ACL deficiencies.
Keywords: knee joint; anterolateral ligament; anterolateral ligament reconstruction; lateral extra-articular tenodesis; anterior cruciate ligament; anterior cruciate ligament reconstruction knee joint; anterolateral ligament; anterolateral ligament reconstruction; lateral extra-articular tenodesis; anterior cruciate ligament; anterior cruciate ligament reconstruction

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MDPI and ACS Style

Park, J.-G.; Han, S.-B.; Lee, C.-S.; Jeon, O.H.; Jang, K.-M. Anatomy, Biomechanics, and Reconstruction of the Anterolateral Ligament of the Knee Joint. Medicina 2022, 58, 786. https://doi.org/10.3390/medicina58060786

AMA Style

Park J-G, Han S-B, Lee C-S, Jeon OH, Jang K-M. Anatomy, Biomechanics, and Reconstruction of the Anterolateral Ligament of the Knee Joint. Medicina. 2022; 58(6):786. https://doi.org/10.3390/medicina58060786

Chicago/Turabian Style

Park, Jun-Gu, Seung-Beom Han, Chul-Soo Lee, Ok Hee Jeon, and Ki-Mo Jang. 2022. "Anatomy, Biomechanics, and Reconstruction of the Anterolateral Ligament of the Knee Joint" Medicina 58, no. 6: 786. https://doi.org/10.3390/medicina58060786

APA Style

Park, J.-G., Han, S.-B., Lee, C.-S., Jeon, O. H., & Jang, K.-M. (2022). Anatomy, Biomechanics, and Reconstruction of the Anterolateral Ligament of the Knee Joint. Medicina, 58(6), 786. https://doi.org/10.3390/medicina58060786

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