Anatomic Anterolateral Ligament Reconstruction Improves Postoperative Clinical Outcomes Combined with Anatomic Anterior Cruciate Ligament Reconstruction

Overview

Journal J Sports Sci Med

Specialty Orthopedics

Date 2016 Dec 9

PMID 27928215

Citations 24

Authors

Hua Zhang

Man Qiu

Aiguo Zhou

Jian Zhang

Dianming Jiang

Affiliations

Soon will be listed here.

Abstract

A significant cohort of patients is plagued by postoperative rotational instability after the anatomic anterior cruciate ligament (ACL) reconstruction surgery. Anatomic anterolateral ligament (ALL) reconstruction was performed in this study with the aim to assess the clinical role of ALL in knee's stability and joint functions. Sixty patients were recruited and divided into three groups to perform the operations of anatomic single-bundle ACL reconstruction, anatomic double-bundle ACL reconstruction, and anatomic single-bundle ACL reconstruction + anterolateral ligament reconstruction, respectively. And then postoperative knee's stability and joint functions were evaluated to compare the clinical outcomes among the three different kind of operations. The postoperative knee's stability and joint functions of the anatomic double-bundle ACL reconstruction group and the anatomic single-bundle ACL reconstruction + ALL reconstruction group were better than the anatomic single-bundle ACL reconstruction group. No significant difference was observed between the anatomic double-bundle ACL reconstruction group and the anatomic single-bundle ACL reconstruction + ALL reconstruction group. The anatomic anterolateral ligament reconstruction could improve the clinical outcomes after patients performed the anatomic single-bundle anterior cruciate ligament reconstruction. This indicates that the anterolateral ligament plays a crucial role in knee's stability and joint function, especially the rotational stability.

Citing Articles

Greater return to sports after anterior cruciate ligament reconstruction combined with anterolateral ligament reconstruction compared with anterior cruciate ligament reconstruction alone: A systematic review and meta-analysis.

Lumban-Gaol I, Putramega D, Phatama K, Utomo D, Budhiparama N J Exp Orthop. 2025; 12(1):e70127.

PMID: 39764548 PMC: 11702406. DOI: 10.1002/jeo2.70127.

Current development in surgical techniques, graft selection and additional procedures for anterior cruciate ligament injury: a path towards anatomic restoration and improved clinical outcomes-a narrative review.

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[Anterior cruciate ligament reconstruction using Mac Intosh technique modified by Jaeger: a retrospective study of 80 cases in the Department of Orthopedics and Traumatology at the Habib Bourguiba University Hospital, Sfax, Tunisia].

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A Review of Current Concepts of the Anterolateral Complex of the Knee.

Athanasiou V, Panagopoulos A, Kouzelis A, Kokkalis Z, Lakoumentas J, Katsanos K Orthop Rev (Pavia). 2022; 14(4):38651.

PMID: 36213619 PMC: 9536860. DOI: 10.52965/001c.38651.

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