Anatomic reconstruction of the anterior cruciate ligament of the knee with or without reconstruction of the anterolateral ligament: A meta-analysis

Yin, Jun; Yang, K.G. Auw; Zheng, Dong; Xu, Nanwei

doi:10.1177/2309499020985195

Cited by 14 publications

(10 citation statements)

References 52 publications

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“…However, knee cruciate ligament injuries are more common after a sports injury or injury from other factors. Due to the low self-healing ability of the cruciate ligament of the knee joint, after the injury, if it is not diagnosed in time and effective measures are taken to intervene, it is very easy to develop into a complete tear, which will adversely affect the stability of the joint, called secondary traumatic osteoarthropathy [ 11 ]. MRI is a commonly used imaging examination method in clinical practice; it has played a good role in the diagnosis of various diseases, it can achieve parametric and multidirectional imaging, and it has strong advantages in displaying articular cartilage and intra-articular structures.…”

Section: Literature Reviewmentioning

confidence: 99%

MRI View of Rehabilitation Methods to Relieve Anterior Cruciate Ligament Injury in Dancers

Yang

2022

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In order to solve the problem of the difference in the diagnostic effect of different sequences of magnetic resonance imaging (MRI) examinations for anterior and posterior cruciate ligament injuries, the author proposes an MRI rehabilitation method to relieve anterior cruciate ligament injury in dancers. This method retrospectively analyzed the clinical data of 60 patients with knee anterior and posterior cruciate ligament injuries in our hospital, and all patients were diagnosed with knee anterior and posterior cruciate ligament injuries. All patients underwent MRI 3D sequence and 2D sequence examination successively to compare anatomical measurements. This study aimed at comparing the measurements of the posterior cruciate ligament (PCL) and anterior cruciate ligament (ACL) between the two examination sequences; comparing the diagnosis; comparing the grading and judgment of the anterior and posterior cruciate ligament injuries of the knee joint between the two inspection sequences; and comparing the diagnostic coincidence rates of the two examination sequences in the complete tear of the anterior and posterior cruciate ligaments of the knee. Experimental results show that, in terms of PCL and ACL, the angle, thickness, and length of two-dimensional MRI examination were significantly different from those of MRI examination and anatomical measurement ( P < 0.05 ); for PCL and ACL, the angle, thickness, and length of 3D MRI were not significantly different from anatomical measurements ( P > 0.05 ). The diagnostic accuracy of 2D MRI was 83.33%, which was lower than 95.00% of 3D MRI ( P < 0.05 ). There was no significant difference in the grading of anterior and posterior cruciate ligament injuries between the two examination sequences ( P > 0.05 ). The diagnostic coincidence rates of 3D MRI and 2D MRI for complete tear of the anterior and posterior cruciate ligaments were 95.55% and 80.00%, respectively ( P < 0.05 ). In conclusion, three-dimensional MRI examination can obtain higher diagnostic value for patients with knee joint anterior and posterior cruciate ligament injury.

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Section: Literature Reviewmentioning

confidence: 99%

MRI View of Rehabilitation Methods to Relieve Anterior Cruciate Ligament Injury in Dancers

Yang

2022

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“…30 The combination of ACLR and ALLR has shown remarkable improvement in clinical results compared with isolated ACLR. [66][67][68][69][70] Studies have shown that the most common femoral fixation sites were posterior and proximal to the lateral femoral epicondyle, and for the tibial fixation, the most common sites were between Gerdy's tubercle and the fibular head. 3,70 Regarding the graft's tension, Kunze et al, in a recent Systematic Review and Meta-Analysis of Randomized Controlled Trials, found that in 9 of 14 studies, the graft was tensioned at 30 o .…”

Section: Classification and Treatmentmentioning

confidence: 99%

A Review of Current Concepts of the Anterolateral Complex of the Knee

et al. 2022

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The anterolateral complex (ALC) of the knee has gained increased interest over the last decades due to the high revision rates of anterior cruciate ligament reconstruction (ACLR). Furthermore, in patients with an ACL tear, the injury of at least one of the ALC’s anatomic structures has been shown to be significantly higher, thus affecting its secondary stabilizing role at the knee joint. As such, ACLR augmentation techniques, that embrace the ALC, have been proposed recently, and indications for these procedures are still evolving. This review aims to present and discuss the most current anatomical, biomechanical, and imaging data, current reconstruction techniques, and the clinical results of ALC reconstruction.

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“…In a recent meta-analysis, Yin et al [ 67 ] reported superior knee kinematics after combined ACLR and ALLR or LET compared to isolated ACLR in ACL deficient knees. Similarly, Littlefield et al [ 19 ] in a systematic review identified that supplementary ALLR during ACLR improved anterior tibial translation and internal knee rotation and resulted in a lower incidence of graft failure.…”

Section: Biomechanical Evaluationmentioning

confidence: 99%

Graft choices for anterolateral ligament knee reconstruction surgery: Current concepts

Chalidis¹,

Pitsilos²,

Kitridis³

et al. 2022

WJCC

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The anterolateral ligament (ALL) is a primary structure of the anterolateral complex of the knee that contributes to internal rotational stability of the joint. Injury of the ALL is commonly associated with rupture of the anterior cruciate ligament. If left untreated, ALL lesions may lead to residual anterolateral rotational instability of the knee after anterior cruciate ligament reconstruction, which is a common cause of anterior cruciate ligament graft failure. The function of the ALL can be restored by lateral extraarticular tenodesis or anterolateral ligament reconstruction (ALLR). In the lateral extraarticular tenodesis procedure, a strip of the iliotibial band is placed in a non-anatomical position to restrain the internal rotation of the tibia, while in ALLR, a free graft is fixed at the insertion points of the native ALL. Gracilis and semitendinosus grafts have mainly been utilized for ALLR, but other autografts have also been suggested. Furthermore, allografts and synthetic grafts have been applied to minimize donor-site morbidity and maximize the size and strength of the graft. Nevertheless, there has been no strong evidence to fully support one method over another thus far. The present review presents a detailed description of the graft choices for ALLR and the current literature available in regard to the effectiveness and outcomes of published surgical techniques.

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Anatomic reconstruction of the anterior cruciate ligament of the knee with or without reconstruction of the anterolateral ligament: A meta-analysis

Cited by 14 publications

References 52 publications

MRI View of Rehabilitation Methods to Relieve Anterior Cruciate Ligament Injury in Dancers

MRI View of Rehabilitation Methods to Relieve Anterior Cruciate Ligament Injury in Dancers

A Review of Current Concepts of the Anterolateral Complex of the Knee

Graft choices for anterolateral ligament knee reconstruction surgery: Current concepts

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