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Contributions of the anterolateral complex and the anterolateral ligament to rotatory knee stability in the setting of ACL Injury: a roundtable discussion

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Title: Contributions of the anterolateral complex and the anterolateral ligament to rotatory knee stability in the setting of ACL Injury: a roundtable discussion
Authors: Musahl, V
Getgood, A
Neyret, P
Claes, S
Burnham, JM
Batailler, C
Sonnery-Cottet, B
Williams, A
Amis, A
Zaffagnini, S
Karlsson, J
Item Type: Journal Article
Abstract: Persistent rotatory knee laxity is increasingly recognized as a common finding after anterior cruciate ligament (ACL) reconstruction. While the reasons behind rotator knee laxity are multifactorial, the impact of the anterolateral knee structures is significant. As such, substantial focus has been directed toward better understanding these structures, including their anatomy, biomechanics, in vivo function, injury patterns, and the ideal procedures with which to address any rotatory knee laxity that results from damage to these structures. However, the complexity of lateral knee anatomy, varying dissection techniques, differing specimen preparation methods, inconsistent sectioning techniques in biomechanical studies, and confusing terminology have led to discrepancies in published studies on the topic. Furthermore, anatomical and functional descriptions have varied widely. As such, we have assembled a panel of expert surgeons and scientists to discuss the roles of the anterolateral structures in rotatory knee laxity, the healing potential of these structures, the most appropriate procedures to address rotatory knee laxity, and the indications for these procedures. In this round table discussion, KSSTA Editor-in-Chief Professor Jón Karlsson poses a variety of relevant and timely questions, and experts from around the world provide answers based on their personal experiences, scientific study, and interpretations of the literature. Level of evidence V.
Issue Date: 1-Apr-2018
Date of Acceptance: 16-Jan-2017
URI: http://hdl.handle.net/10044/1/60911
DOI: https://dx.doi.org/10.1007/s00167-017-4436-7
ISSN: 0942-2056
Publisher: Springer Verlag
Start Page: 997
End Page: 1008
Journal / Book Title: Knee Surgery, Sports Traumatology, Arthroscopy
Volume: 25
Issue: 4
Copyright Statement: © European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2017. The final publication is available at Springer via https://link.springer.com/article/10.1007%2Fs00167-017-4436-7
Keywords: ACL
Alc
All
Anterior cruciate ligament
Anterolateral complex
Anterolateral ligament
Extra-articular tenodesis
Instability
Laxity
Meniscus
Pivot shift
Reconstruction
Revision acl
Rotatory
Anterior Cruciate Ligament Injuries
Biomechanical Phenomena
Humans
Joint Instability
Knee Joint
Ligaments, Articular
Rotation
1103 Clinical Sciences
1106 Human Movement And Sports Science
Orthopedics
Publication Status: Published
Conference Place: Germany
Online Publication Date: 2017-03-12
Appears in Collections:Mechanical Engineering
Faculty of Engineering