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The Role of Anterolateral Ligament Reconstruction in Anterior Instability

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Knee Arthroscopy

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Abstract

Since the anatomic description of the anterolateral ligament (ALL) by Claes et al. in [9], there has been a vigorous debate in literature on the existence and the function of this structure first described in 1879 by Dr. Paul Segond. The culmination of this debate was July 2018 and the publication of a consensus paper co-authored by a panel of influential international researchers and clinicians confirming the existence of this ligament. Its origin is posterior and proximal to the lateral epicondyle of the femur and its insertion is on tibia plateau midway between Gerdy’s tubercle and the fibular head. Biomechanically, the ALL acts as a rotational stabilizer of the knee and the combined reconstruction of anterior cruciate ligament (ACL) and ALL demonstrated an improvement in knee stability compared with isolated ACL reconstruction. This improvement in knee kinematics has an important clinical impact reducing the rate of ACL graft ruptures and failure of medial meniscus repairs.

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  1. Centre Orthopedique Santy, FIFA Medical Center of Excellence, Groupe Ramsay Generale de Sante, Lyon, France

    Jean-Romain Delaloye, Jozef Murar, Charles Pioger, Florent Franck, Thais Dutra Vieira & Bertrand Sonnery-Cottet

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Delaloye, JR., Murar, J., Pioger, C., Franck, F., Vieira, T.D., Sonnery-Cottet, B. (2021). The Role of Anterolateral Ligament Reconstruction in Anterior Instability. In: Kim, J.G. (eds) Knee Arthroscopy. Springer, Singapore. https://doi.org/10.1007/978-981-15-8191-5_10

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