ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2017
Sectioning the anterolateral ligament did not increase tibiofemoral translation or rotation in an ACL-deficient cadaveric model.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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Who cites it
33 citing papers in PubMed, 76 citations in OpenAlex.
- Diagnostic Accuracy and Reliability of Dynamic Handheld Ultrasound Testing in Detecting Anterior Cruciate Ligament Tears: A Cadaveric Study.The archives of bone and joint surgery · 2025Article
- Segond fracture: an indicator for increased risk of lateral meniscus injury in patients with acute anterior cruciate ligament ruptures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Greater Knee Rotatory Instability After Posterior Meniscocapsular Injury Versus Anterolateral Ligament Injury: A Proposed Mechanism of High-Grade Pivot Shift.Orthopaedic journal of sports medicine · 2023Article
- Anterior cruciate ligament rupture and associated Segond fracture: Incidence and effect on associated ligamentous and meniscal injuries.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2022Article
- Development of new cartilage lesions after ACL reconstruction is associated with abnormal knee rotation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Injuries to the anterolateral ligament are observed more frequently compared to lesions to the deep iliotibial tract (Kaplan fibers) in anterior cruciate ligamant deficient knees using magnetic resonance imaging.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Reconstruction of the anterior cruciate- and anterolateral ligament deficient knee with a modified iliotibial graft reduces instability more than with an intra-articular hamstring graft.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- MRI visibility of the anterolateral ligament and the deep structures of the iliotibial tract.Journal of experimental orthopaedics · 2020Article
- Biomechanical function of the anterolateral ligament of the knee: a systematic review.Knee surgery & related research · 2020Article
- Anterior Cruciate Ligament Injury and the Anterolateral Complex of the Knee-Importance in Rotatory Knee Instability?Current reviews in musculoskeletal medicine · 2019Review
- The anterolateral ligament is a secondary stabilizer in the knee joint: A validated computational model of the biomechanical effects of a deficient anterior cruciate ligament and anterolateral ligament on knee joint kinematics.Bone & joint research · 2019Article
- Correlation Analysis of the Anterolateral Ligament Length with the Anterior Cruciate Ligament Length and Patient's Height: An Anatomical Study.Scientific reports · 2019Article
- The anterolateral complex of the knee: results from the International ALC Consensus Group Meeting.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Article
- The Anterolateral Ligament is Not the Whole Story: Reconsidering the Form and Function of the Anterolateral Knee and its Contribution to Rotatory Knee Instability.Techniques in orthopaedics (Rockville, Md.) · 2018Article
- Anatomic and Histological Study of the Anterolateral Aspect of the Knee: A SANTI Group Investigation.Orthopaedic journal of sports medicine · 2018Article
- The prevalence and morphological characteristics of the knee anterolateral ligament in a Chinese population.Journal of anatomy · 2018Article
- Minimal influence of the anterolateral knee ligament on anterior and rotational laxity of the knee: a cadaveric study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2018Article
- Restoring tibiofemoral alignment during ACL reconstruction results in better knee biomechanics.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Article
- The Anterolateral Complex of the Knee.Orthopaedic journal of sports medicine · 2017Article
- Rotational Laxity Control by the Anterolateral Ligament and the Lateral Meniscus Is Dependent on Knee Flexion Angle: A Cadaveric Biomechanical Study.Clinical orthopaedics and related research · 2017Article
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe anterolateral ligament (ALL) has been proposed as a possible extra-articular stabiliser of the knee. Injury to the ALL may result in residual instability following surgical reconstruction of a ruptured anterior cruciate ligament (ACL). Few studies have evaluated the biomechanical role of the ALL. The purpose of this study was to investigate whether sectioning the ALL would have an influence on tibiofemoral translation or rotation during the anterior drawer, Lachman, pivot shift, external rotation, and internal rotation tests in an ACL-deficient knee.
methodsOnly whole-body specimens having an ALL were included in this study. Lachman, anterior drawer, external rotation, and internal rotation tests were performed manually. Pivot shift test was done using a mechanised pivot shifter. The amount of tibiofemoral translation and rotation was recorded by a navigation system. Each specimen was tested in its native state, after sectioning the ACL, and after combined sectioning of the ACL and the ALL.
resultsIn six out of 14 cadaveric knees, an ALL could be identified. The ACL-deficient knee had significantly more tibiofemoral translation and rotation compared to the native knee (P < 0.05). However, no changes in the magnitudes of translation or rotation were seen after subsequent sectioning of the ALL compared to the ACL-deficient knee (P > 0.05).
conclusionAdding an ALL lesion in an ACL-deficient knee did not increase tibiofemoral instability in this cadaveric model. It remains unclear whether injury to the ALL would result in substantial knee instability in the setting of ACL injury in vivo. Further research is warranted to fully elucidate the role of the ALL during knee kinematics and to determine in which scenarios ALL repair would be warranted. Understanding the function of the ALL may improve the current treatment strategies for ACL ruptures.
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