Anterolateral complex of the knee: State of the art  

作　　者：Luigi Sabatini Marcello Capella Daniele Vezza Luca Barberis Daniele Camazzola Salvatore Risitano Luca Drocco Alessandro Massè 

机构地区：[1]Department of Orthopaedics and Traumatology,Universitàdegli Studi di Torino,Torino 10126,Italy

出　　处：《World Journal of Orthopedics》2022年第8期679-692,共14页世界骨科杂志（英文版）

摘　　要：Rotatory instability of the knee represents the main reason for failure and poor clinical outcomes regarding anterior cruciate ligament(ACL)reconstruction techniques.It is now clear that the anterolateral complex(ALC)of the knee possesses a fundamental role,in association with the ACL,in controlling internal rotation.Over the past decade,ever since the anterolateral ligament has been identified and described as a distinct structure,there has been a renewed interest in the scientific community about the whole ALC:Lateral extra-articular tenodesis have made a comeback in association with ACL reconstructions to improve functional outcomes,reducing the risks of graft failure and associated injuries.Modern ACL reconstruction surgery must therefore investigate residual instability and proceed,when necessary,to extra-articular techniques,whether functional tenodesis or anatomical reconstruction.This review aims to investigate the latest anatomical and histological descriptions,and the role in rotational control and knee biomechanics of the ALC and its components.The diagnostic tools for its identification,different reconstruction techniques,and possible surgical indications are described..In addition,clinical and functional results available in the literature are reported.

关 键 词：KNEE Knee dislocation Anterior cruciate ligament reconstruction Fascia lata TENODESIS Joint instability 

分 类 号：R687.2[医药卫生—骨科学]