BACKGROUND Injury to the lateral capsular tissues of the knee may accompany rupture of the anterior cruciate ligament (ACL). A distinct lateral structure, the anterolateral ligament, has been identified, and reconstruction strategies for this tissue in combination with ACL reconstruction have been proposed. However, the biomechanical function of the anterolateral ligament is not well understood...

BACKGROUND In a noticeable percentage of patients anterolateral rotational instabilities (ALRI) remain after an isolated ACL reconstruction. Those instabilities may occur due to an insufficiently directed damage of anterolateral structures that is often associated with ACL ruptures. Recent publications describe an anatomical structure, termed the anterolateral ligament (ALL), and suggest that t...

Ever since its description, anterolateral ligament (ALL) of the knee joint remains as the hotspot of controversies.Though it has been described under various descriptions, the structure gained its limelight when it was christenedas anterolateral ligament by Claes in 2013. The main reason for the controversies around it is the lack of concreteevidences regarding its attachments...

Restoration of anteroposterior laxity after an anterior cruciate ligament reconstruction has been predictable with traditional open and endoscopic techniques. However, anterolateral rotational stability has been difficult to achieve in a subset of patients, even with appropriate anatomic techniques. Therefore, differing techniques have attempted to address this rotational laxity by augmenting o...

BACKGROUND The success of posterior cruciate ligament reconstruction has varied. The objective of this study was to determine quantitatively and qualitatively the topography and osseous landmarks of the femoral footprints of the anterolateral and posteromedial bundles of the posterior cruciate ligament in order to enhance repair. METHODS Twenty unpaired knees from twenty human cadavers were e...

Although the importance of the anterolateral stabilizing structures of the knee in the setting of anterior cruciate ligament (ACL) injuries has been recognized since many years, most of orthopedic surgeons do not take into consideration the anterolateral structures when performing an ACL reconstruction. Anatomic single or double bundle ACL reconstruction will improve knee stability, but a small...

BACKGROUND Significant controversy exists regarding the anterolateral structures of the knee. PURPOSE To determine the layer-by-layer anatomic structure of the anterolateral complex of the knee. STUDY DESIGN Descriptive laboratory study. METHODS Twenty fresh-frozen cadaveric knees (age range, 38-56 years) underwent a layer-by-layer dissection to systematically expose and identify the vari...

Recent renewed interest in the anatomy of the anterolateral complex of the knee, combined with concern regarding persistent instability after anterior cruciate ligament reconstruction, has led to an expansion of the literature on the biomechanics of many structures of the anterolateral complex of the knee. A review of the clinical significance and the key biomechanical principles concerning thi...

In 1879, the French surgeon Segond described the existence of a 'pearly, resistant, fibrous band' at the anterolateral aspect of the human knee, attached to the eponymous Segond fracture. To date, the enigma surrounding this anatomical structure is reflected in confusing names such as '(mid-third) lateral capsular ligament', 'capsulo-osseous layer of the iliotibial band' or 'anterolateral ligam...