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Anatomic ACL

Anterior cruciate ligament reconstruction (ACL-R) is probably the most performed arthroscopic knee surgical procedure. The technique of ACL-R continues to evolve, and the search for the Holy Trial continues. We have not yet decided the ideal “Gold Standard” graft source for ACL-R. Newer fixation devices have made the use of shorter grafts possible. The quest for the ideal femoral and tibial tunnel position yet seems an ongoing enigma. Several evolving technologies have been investigated to address this issue. Over the past decade, the role of secondary stabilizing structures in an ACL injured has been investigated in detail. The indications for the use of additional procedures for treating these secondary injuries are now becoming clearer. We are gradually inching closer to improved outcomes and ACL-R survival rates.

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State of the Art Review
Open Access
Combined anterolateral complex and anterior cruciate ligament injury: Anatomy, biomechanics, and management—State-of-the-art
Journal of ISAKOS
Vol. 8Issue 1p37–46Published online: November 8, 2022
- Brian M. Devitt
- Thomas Neri
- Brett A. Fritsch
Cited in Scopus: 1
Anterior cruciate ligament (ACL) rupture typically occurs because of sudden axial loading of the knee in conjunction with a coupled valgus and rotational moment about the tibia. However, the ACL is not the only structure damaged during this mechanism of injury, and studies have shown that the anterolateral complex (ALC) of the knee is also commonly involved. Biomechanical studies have established that the ALC plays an important role as a secondary stabiliser to control anterolateral rotatory laxity (ALRL).

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Anatomic ACL

Combined anterolateral complex and anterior cruciate ligament injury: Anatomy, biomechanics, and management—State-of-the-art