Effects of Anterolateral Structure Augmentation on the In Vivo Kinematics of ACL-Reconstructed Knees: Response

Abstract

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Author Reply to ”Regarding ‘Augmentation of Anterolateral Structures of the Knee Causes Undesirable Tibiofemoral Cartilage Contact in Double-Bundle Anterior Cruciate Ligament Reconstruction—A Randomized In-Vivo Biomechanics Study’”

“…4,5 Furthermore, according to the literature, outcomes of an isolated ACLR still require improvement, 6 and the clinical effect of the lateral extra-articular procedure is not ascertained. 7 Thus, considering ALC or ALS as one unity that played a role in rotation restriction in the anterolateral aspect of the knee, 8 we performed this new procedure, ALSA, hoping to control the knee rotatory stability and lower the clinical failure of ACLR. We admit that our nomenclature (anterolateral structures augmentation, ALSA) might lead to confusion, as it seems like a blanket statement of all anterolateral procedures.…”

“…3,4 Despite a great amount of experience with excellent results 6 using the Latarjet technique (which I personally learned from Didier Patte in 1986 and Gilles Walch in Lyon later on), since 2014, I have been performing upper-third subscapularis tenodesis, as conceived by Jonson and modified by Maiotti and Massoni, 7 for the treatment of patients affected by atraumatic anterior instability associated with hyperlaxity and glenoid bone loss between 3% and 13%. [8][9][10] Starting in 2016, in patients with glenoid deficits between 13% and 25%, I began to perform a free bone block procedure in association with a classic Bankart repair, using only 1 anchor at the inferior glenoid margin, and tenodesis of the upper part of the subscapularis tendon.…”