Skip to main content
SpringerLink
Log in

Chronic Anterolateral Knee Laxity: Reconstruction Techniques

  • Chapter
  • First Online:
Knee Ligament Injuries

  • 1991 Accesses

Abstract

Reconstruction of the anterior cruciate ligament (ACL) is a common orthopedic procedure. A single-bundle reconstruction does not completely restore tibial anterior translation and rotation in all cases. Several techniques have been described to improve stability, including double-bundle intra-articular reconstruction and lateral extra-articular augmentation. Extra-articular augmentation has been recommended in patients with significant anterolateral rotatory instability, cases of revision ACL reconstruction. This procedure is contraindicated for patients with posterolateral corner injuries and for the skeletally immature patients. This chapter is dedicated to describe the different reconstruction techniques used in anterolateral knee laxity and review their efficacy and results in the literature.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 79.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Andrews JR, Sanders RA, Morin B (1985) Surgical treatment of anterolateral instability: a follow-up study. Am J Sports Med 13:112–119

    Article  CAS  PubMed  Google Scholar 

  2. Andrews JR, Sanders R (1983) A “mini-reconstruction” technique in treating anterolateral rotatory instability (ALRI). Clin Orthop 172:93–96

    PubMed  Google Scholar 

  3. Amirault JD, Cameron JC, MacIntosh DL, Marks P (1988) Chronic anterior cruciate ligament deficiency: long-term results of MacIntosh’s lateral substitution reconstruction. J Bone Joint Surg [Br] 70-B:622–624

    Google Scholar 

  4. Amis AA, Scammell BE (1993) Biomechanics of intra-articular and extra- articular reconstruction of the anterior cruciate ligament. J Bone Joint Surg Br 75(5):812–817

    CAS  PubMed  Google Scholar 

  5. Bach BR Jr, Tradonsky S, Bojchuk J, Levy ME, Bush-Joseph CA, Khan NH (1998) Arthroscopically assisted anterior cruciate ligament reconstruction using patellar tendon autograft: five- to nine-year follow-up evaluation. Am J Sports Med 26(1):20–29

    PubMed  Google Scholar 

  6. Burgot D, Rosset P, Favard L, Burdin P (1988) Chronic anterior laxity of the knee treated by extra-articular ligamentoplasty: 226 cases reviewed after more than 2 years. Rev Chir Orthop Reparatrice Appar Mot 74:424–429

    CAS  PubMed  Google Scholar 

  7. Christel P, Djian P (2002) Anterio-lateral extra-articular tenodesis of the knee using a short strip of fascia lata. Rev Chir Orthop Reparatrice Appar Mot 88(5):508–513

    CAS  PubMed  Google Scholar 

  8. Colombet P (2011) Knee laxity control in revision anterior cruciate ligament reconstruction versus anterior cruciate ligament reconstruction and lateral tenodesis: clinical assessment using computer-assisted navigation. Am J Sports Med 39:1248

    Article  PubMed  Google Scholar 

  9. Dandy DJ (1995) Some clinical aspects of reconstruction for chronic anterior cruciate ligament deficiency. Ann R Coll Surg Engl 77:290–298

    CAS  PubMed Central  PubMed  Google Scholar 

  10. Dodds AL, Gupte CM, Neyret P, Williams AM, Amis AA (2011) Extra-articular techniques in anterior cruciate ligament reconstruction. A literature review. J Bone Joint Surg Br 93-B:1440–1448

    Article  Google Scholar 

  11. Durkan JA, Wynne GF, Haggerty JF (1989) Extraarticular reconstruction of the anterior cruciate ligament insufficient knee. A long-term analysis of the Ellison procedure. Am J Sports Med 17(1):112–117

    Article  CAS  PubMed  Google Scholar 

  12. Draganich LF, Reider B, Miller PR (1989) An in vitro study of the Muller antero-lateral femorotibial ligament tenodesis in the anterior cruciate ligament deficient knee. Am J Sports Med 17:357–362

    Article  CAS  PubMed  Google Scholar 

  13. Draganich LF, Reider B, Ling M et al (1990) An in vitro of an intraarticular Draganich Ling study and extraarticular reconstruction in the anterior cruciate ligament deficient knee. Am J Sports Med 18:262–266

    Article  CAS  PubMed  Google Scholar 

  14. Draganich LF, Hsieh YE, Reider B (1995) Iliotibial band tenodesis: a new strategy for attachment. Am J Sports Med 23(2):186–195

    Article  CAS  PubMed  Google Scholar 

  15. Ellison AE (1979) Distal iliotibial-band transfer for anterolateral rotator instability of the knee. J Bone Joint Surg Am 61-A:330–337

    Google Scholar 

  16. Engebretsen L, Lew WD, Lewis JL, Hunter RE (1990) The effect of an iliotibial tenodesis on intraarticular graft forces and knee joint motion. Am J Sports Med 18(2):169–176

    Article  CAS  PubMed  Google Scholar 

  17. Ferretti A, Conteduca F, Monaco E, De Carli A, D’Arrigo C (2006) Revision anterior cruciate ligament reconstruction with doubled semitendinosus and gracilis tendons and lateral extra-articular reconstruction. J Bone Joint Surg Am 88(11):2373–2379

    Article  PubMed  Google Scholar 

  18. Frank C, Jackson RW (1988) Lateral substitution for chronic isolated anterior cruciate ligament deficiency. J Bone Joint Surg Br 70 B(3):407–411

    Google Scholar 

  19. Fox JM, Blazina ME, Del Pizzo W, Ivey FM, Broukhim B (1980) Extra articular stabilization of the knee joint for anterior instability. Clin Orthop Relat Res 147:56–61

    PubMed  Google Scholar 

  20. Galway RD, Beaupre A, MacIntosh DL (1972) Pivot shift: a clinical sign of symptomatic anterior cruciate insufficiency. J Bone Joint Surg [Br] 54-B:763–764

    Google Scholar 

  21. Georgoulis AD, Papadonikolakis A, Papageorgiou CD, Mitsou A, Stergiou N (2003) Three-dimensional tibiofemoral kinematics of the anterior cruciate ligament-deficient and reconstructed knee during walking. Am J Sports Med 31(1):75–79

    PubMed  Google Scholar 

  22. Hanks GA, Joyner DM, Kalenak A (1981) Antero lateral rotatory instability of the knee. An analysis of the Ellison procedure. Am J Sports Med 9(4):225–232

    Article  CAS  PubMed  Google Scholar 

  23. Harter RA, Osternig LR, Singer KM, James SL, Larson RL, Jones DC (1988) Long-term evaluation of knee stability and function following surgical reconstruction for anterior cruciate ligament insufficiency. Am J Sports Med 16(5):434–443

    Article  CAS  PubMed  Google Scholar 

  24. Ireland J, Trickey EL (1980) Macintosh tenodesis for anterolateral instability of the knee. J Bone Joint Surg [Br] 62-B:340–345

    Google Scholar 

  25. Kennedy JC, Stewart R, Walker DM (1978) Anterolateral rotatory instability of the knee joint. J Bone Joint Surg Am 60-A:1031–1039

    Google Scholar 

  26. Krackow KA, Brooks RL (1983) Optimization of knee ligament position for lateral extraarticular reconstruction. Am J Sports Med 11:293–302

    Article  CAS  PubMed  Google Scholar 

  27. Lazzarone C, Crova M, Brach Del Prever E, Comba D (1990) Extraarticular reconstruction in the treatment of chronic lesions of the anterior cruciate ligament. Ital J Orthop Traumatol 16:459–465

    CAS  PubMed  Google Scholar 

  28. Lebel B, Hulet C, Galaud B, Burdin G, Locker B, Vielpeau C (2008) Arthro- scopic reconstruction of the anterior cruciate ligament using bone- patellar tendon-bone autograft: a minimum 10-year follow-up. Am J Sports Med 36(7):1275–1282

    Article  PubMed  Google Scholar 

  29. Lemaire M (1967) Ruptures anciennes du ligament croise anterieur du genou. J Chir 93:311–320

    Google Scholar 

  30. Lipscombs AB, Woods W, Jones A (1992) A biomechanical evaluation of the iliotibial tract screw tenodesis. Am J Sports Med 20(6):742–745

    Article  Google Scholar 

  31. Losee RE, Johnson TR, Southwick W (1978) Anterior subluxation of the lateral tibial plateau: a diagnostic test and operative repair. J Bone Joint Surg [Am] 60- A:1015–1030

    Google Scholar 

  32. Marcacci M, Zaffagnini S, Giordano G, Iacono F, Presti ML (2009) Anterior cruciate ligament reconstruction associated with extra-articular tenodesis: a prospective clinical and radiographic evaluation with 10- to 13-year follow-up. Am J Sports Med 37(4):707–714

    Article  PubMed  Google Scholar 

  33. Marston RA, Chen SC (1993) Extra articular tenodesis for anterior cruciate deficient knees: a review of Ellison procedure. J R Soc Med 86(11):637–638

    CAS  PubMed Central  PubMed  Google Scholar 

  34. Mølster AO, Strand T, Skredderstuen A, Engesaeter LB, Raugstad TS, Alho A (1984) Extra articular stabilization of the knee a.m Losee. Acta Orthop Scand 55(6):640–642

    Article  PubMed  Google Scholar 

  35. Muller W (1983) The knee: form, function, and ligament reconstruction. Springer, New York, pp 253–257

    Book  Google Scholar 

  36. Neyret P, Palamo J, Donell ST, Dejour H (1994) Extra-articular tenodesis for anterior cruciate ligament rupture in amateur skiers. Br J Sports Med 28:31–34

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  37. O’Brien SJ, Warren RF, Pavlov H, Panariello R, Wickiewicz TL (1991) Reconstruction of the chronically insufficient anterior cruciate ligament with the central third of the patellar ligament. J Bone Joint Surg Am 73-A:278–286

    Google Scholar 

  38. Reid JS, Hanks GA, Kalanek A, Kottmeier S, Aronoff V (1992) The Ellison iliotibial- band transfer for a torn anterior cruciate ligament of the knee: long-term follow-up. J Bone Joint Surg Am 74-A:1392–1402

    Google Scholar 

  39. Robinson J, Carrat L, Granchi C, Colombet P (2007) Influence of anterior cruciate ligament bundles on knee kinematics: clinical assessment using computer-assisted navigation. Am J Sports Med 35(12):2006–2013

    Article  PubMed  Google Scholar 

  40. Roth JH, Kennedy JC, Lockstadt H, McCallum CL, Cunning LA (1987) Intra-articular reconstruction of the anterior cruciate ligament with and without extra-articular supplementation by transfer of the biceps femoris tendon. J Bone Joint Surg Am 69-A:275–278

    Google Scholar 

  41. Samuelson M, Draganich LF, Zhou X, Krumins P, Reider B (1996) The effects of knee reconstruction on combined anterior cruciate ligament and anterolateral capsular deficiencies. Am J Sports Med 24(4):492–497

    Article  CAS  PubMed  Google Scholar 

  42. Saragaglia D, Leroy JM, De Sousa B, Tourne Y, Abu al Zahab M (1995) Medium-term results of 173 ligamentoplasties of the anterior cruciate ligament using the MacIntosh technique reinforced by the Kennedy ligament augmentation device (LAD). Knee Surg Sports Traumatol Arthrosc 3:68–74

    Article  CAS  PubMed  Google Scholar 

  43. Strum G, Fox J, Ferkel R et al (1989) Intra-articular versus intra-articular and extra-articular reconstruction for chronic anterior cruciate ligament instability. Clin Orthop 245:188–198

    PubMed  Google Scholar 

  44. Sydney SV, Haynes DW, Hungerford DS et al (1987) The altered kinematic effect of an iliotibial band tenodesis on the anterior cruciate deficient knee. Trans Orthop Res Soc 12:266

    Google Scholar 

  45. Tashman S, Collon D, Anderson K, Kolowich P, Anderst W (2004) Abnormal rotational knee motion during running after anterior cruciate ligament reconstruction. Am J Sports Med 32(4):975–983

    Article  PubMed  Google Scholar 

  46. Taylor GR, Fernandez GN, Robertson JA (1996) Long-term results of anterior cruciate reconstruction using a fascia lata graft. Knee 3:145–149

    Article  Google Scholar 

  47. Yagi M, Wong EK, Kanamori A, Debski RE, Fu FH, Woo SL (2002) Biome- chanical analysis of an anatomic anterior cruciate ligament reconstruction. Am J Sports Med 30(5):660–666

    PubMed  Google Scholar 

  48. Zaffagnini S, Marcacci M, Lo Presti M, Giordano G, Iacono F, Neri MP (2006) Prospective and randomized evaluation of ACL reconstruction with three techniques: a clinical and radiographic evaluation at 5 years follow-up. Knee Surg Sports Traumatol Arthrosc 14(11):1060–1069

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Orthopedic, Clinic Cabinet Goethe, 23 Avenue Niel, Paris, 75017, France

    Patrick Djian, Romain Rousseau & Konstantinos G. Makridis

Authors
  1. Patrick Djian
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Romain Rousseau
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Konstantinos G. Makridis
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Patrick Djian .

Editor information

Editors and Affiliations

  1. Mauriziano “Umberto I” Hospital, Turin, Italy

    Roberto Rossi

  2. University of Rome “Foro Italico”, Rome, Italy

    Fabrizio Margheritini

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Verlag Italia

About this chapter

Cite this chapter

Djian, P., Rousseau, R., Makridis, K.G. (2014). Chronic Anterolateral Knee Laxity: Reconstruction Techniques. In: Rossi, R., Margheritini, F. (eds) Knee Ligament Injuries. Springer, Milano. https://doi.org/10.1007/978-88-470-5513-1_7

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-5513-1_7

  • Published:

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-5512-4

  • Online ISBN: 978-88-470-5513-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation