Bone and Joint Institute
Anterolateral complex reconstruction: Another fad or method to improve ACL outcomes?
Document Type
Conference Proceeding
Publication Date
12-1-2018
Journal
Techniques in Orthopaedics
Volume
33
Issue
4
First Page
239
Last Page
245
URL with Digital Object Identifier
10.1097/BTO.0000000000000310
Abstract
Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved. Anterolateral rotational laxity of the knee is a persistent problem following anterior cruciate ligament reconstruction (ACLR) that can lead to increased rates of graft failure. Renewed interest in the anterolateral complex of the knee has led to a resurgence in the use of adjunctive techniques such as lateral extra-articular tenodesis and anterolateral ligament reconstruction. Use of these techniques can restore normal knee kinematics and potentially thereby reduce the rate of graft failure. Historically, experience with modified ACLR techniques such as the double-bundle ACLR have shown that improved biomechanics is not always reflected in clinical outcome trials. Additional procedures also come with additional costs and further economic analysis needs to be performed to clarify whether these additional costs are offset by improved clinical and societal outcomes in the longer-term.
