Letters to the Editor Highlight Current Controversies

Lubowitz, James H.; Brand, Jefferson C.; Rossi, Michael J.

doi:10.1016/j.arthro.2018.12.002

Cited by 3 publications

(1 citation statement)

References 18 publications

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“…It is interesting to note that each of the milestones in ALL research has been a matter of controversy, not only because this subject was in its infancy, but also because there were different viewpoints worldwide from highly respected surgeons. 3 In these situations, it is hard to say that one perspective is completely right and the other is completely wrong. Controversy was found regarding anatomy, 1,2,4-6 histology, 7-9 biomechanics, [10][11][12][13] radiological evaluation, [14][15][16][17][18][19][20] and reconstruction techniques.…”

Section: See Related Article On Page 2152mentioning

confidence: 99%

Editorial Commentary: Extension of Knowledge—and the Knee! New Biomechanical Study Suggests the Clinical Practice of Anterolateral Ligament Fixation Near Extension

Helito¹

2019

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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The knee anterolateral ligament (ALL) is one of the most hotly debated topics in sports medicine in the last decade. Once one aspect of discussion regarding the ALL reaches a consensus, attention immediately turns to the next one. This has already happened with the existence of the ALL itself, its anatomic features, the ability to visualize the ALL with magnetic resonance imaging, and many other topics. In the end, the most important aspect must be clinical outcomes, and existing studies are trying to find the optimum surgical technique to best restore knee stability and reduce failure rates. It appears that, when doing an anatomic ALL reconstruction, fixation must be performed in full extension. The literature regarding ALL reconstruction shows promising results, with a strong tendency to present better knee stability, improved functional scores, and lower failure rates.

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Section: See Related Article On Page 2152mentioning

confidence: 99%

Editorial Commentary: Extension of Knowledge—and the Knee! New Biomechanical Study Suggests the Clinical Practice of Anterolateral Ligament Fixation Near Extension

Helito¹

2019

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Editorial Commentary: Anterolateral Ligament Augmentation for the Anterior Cruciate Ligament–Deficient Knee Debate—The Proof Is in the Pudding

Rossi¹

2019

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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The highly debatable and contentious anterolateral ligament (ALL) and its use as an augmentation for the anterior cruciate ligament (ACL)edeficient knee during ACL reconstruction continue to flourish in the literature, but the proof will be in the clinical outcome. Despite the ALL controversy, what clearly stands out from authors on either side of the debate is that there is much more going on than just the ACL in the ACL-deficient knee. Techniques of ALL augmentation or lateral extra-articular tenodesis continue to show promise that the lateral soft-tissue structures may provide the answer for the residual pivot and for better outcomes, higher return-to-sport rates, and lower rupture rates. Many authors and researchers believe that this may be a critical adjunct in high-risk situations during ACL reconstruction. But the proof of the pudding will be in the eating.

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An eponymous history of the anterolateral ligament complex of the knee

Kaplan

Alaia

et al. 2022

Knee Surg & Relat Res

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Background Recent interest has surged in the anterolateral ligament (ALL) and complex (ALC) of the knee. Its existence and role in rotary stability of the knee, particularly in the setting of anterior cruciate ligament (ACL) reconstruction, remains a contentious and controversial topic. Understanding the ALC We must review our history and recognize the pioneers who pushed our understanding of the ALL forward before it was popularly recognized as a discrete structure. Additionally, given that many eponyms remain in common use related to the ALC, we must standardize our nomenclature to prevent misuse or misunderstanding of terms in the literature. In this review, modern understanding of the anterolateral ligament complex (ALC) is traced to 1829 by exploring eponymous terms first in anatomy and then in surgical technique. Understanding our history and terminology will allow us to better understand the ALC itself. Conclusion This review aims to provide historical context, define terminology, and provide insight into the clinical relevance of the ALC.

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Letters to the Editor Highlight Current Controversies

Cited by 3 publications

References 18 publications

Editorial Commentary: Extension of Knowledge—and the Knee! New Biomechanical Study Suggests the Clinical Practice of Anterolateral Ligament Fixation Near Extension

Editorial Commentary: Extension of Knowledge—and the Knee! New Biomechanical Study Suggests the Clinical Practice of Anterolateral Ligament Fixation Near Extension

Editorial Commentary: Anterolateral Ligament Augmentation for the Anterior Cruciate Ligament–Deficient Knee Debate—The Proof Is in the Pudding

An eponymous history of the anterolateral ligament complex of the knee

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