Background: The anterolateral ligament has recently been identified as an important structure involved in rotational laxity after anterior cruciate (ACL) rupture. Results of a combined ACL and (ALL) reconstruction technique have never reported. Purpose: To report subjective objective outcomes minimally invasive ALL with minimum 2-year follow-up. Study Design: Case series; Level evidence, 4. Methods: A total 92 patients underwent reconstruction. Indications for procedure were associated...

Background: Graft failure and low rates of return to sport are major concerns after anterior cruciate ligament (ACL) reconstruction, particularly in a population at risk. Purpose: To evaluate the association between reconstruction techniques subsequent graft rupture return-to-sport patients aged 16 30 years participating pivoting sports. Study Design: Cohort study; Level evidence, 2. Methods: A prospective study undergoing primary ACL with bone–patellar tendon–bone (B-PT-B) graft, quadrupled...

Background: Anterior cruciate ligament (ACL) tears are frequently associated with meniscal lesions. Despite improvements in repair techniques, failure rates remain significant, especially for the posterior horn of medial meniscus. Purpose: To determine whether a systematic arthroscopic exploration meniscus an additional posteromedial portal is useful to identify otherwise unrecognized Study Design: Case series; Level evidence, 4. Methods: In consecutive series 302 ACL reconstructions, was...

Background: Physicians should consider an increased posterior tibial slope (PTS) as a risk factor for graft failure when proposing anterior cruciate ligament (ACL) re-revision. Purpose: To describe the surgical technique of combined ACL revision and proximal closing wedge osteotomy to evaluate its clinical outcome in cases recurrent with associated slope. Study Design: Case series; Level evidence, 4. Methods: Between 2008 2010, 5 re-revisions were retrospectively evaluated after mean 31.6...

Background: Reconstruction of the medial patellofemoral ligament (MPFL) is widely acknowledged as an integral part current therapeutic armamentarium for recurrent patellar instability. The procedure often performed with concomitant bony procedures, such distalization tibial tuberosity or trochleoplasty in case patella alta high-grade trochlear dysplasia, respectively. At present time, few studies have evaluated clinical effectiveness MPFL reconstruction isolated intervention. Purpose: To...

Ramp lesions of the medial meniscus are commonly associated with anterior cruciate ligament ruptures and consist longitudinal peripheral tears posterior horn meniscus. Given frequency partial-thickness tears, they can be difficult to diagnose arthroscopically from compartment. We describe a classification different types ramp depending on both tear pattern (partial- or full-thickness tear) meniscotibial disruption. An original technique arthroscopic suture placement through single...

It has been suggested that an increased posterior tibial slope (PTS) and a narrow notch width index (NWI) increase the risk of anterior cruciate ligament (ACL) injury. The aim this study was to establish why there are conflicting reports on their significance. A total fifty patients with ruptured ACL 50 intact were included in study. group rupture had statistically significantly PTS (p < 0.001) smaller NWI than control group. When high and/or defined as factors for rupture, 80% at least one...

Despite technologic advances in the surgical technique for anterior cruciate ligament (ACL) reconstruction, some patients continue to have rotational instability postoperatively. Recently, authors reported anatomic and functional characteristics of anterolateral (ALL), a structure that originates near lateral epicondyle on femur inserts tibia between Gerdy tubercle fibular head. Recent biomechanical studies shown ALL is an important stabilizer against tibial rotation, its reconstruction has...

The prevalence of osteoarthritis after successful meniscal repair is significantly less than that failed repair.To determine whether the addition anterolateral ligament reconstruction (ALLR) confers a protective effect on medial performed at time anterior cruciate (ACLR).Cohort study; Level evidence, 3.Retrospective analysis prospectively collected data was to include all patients who had undergone primary ACLR with concomitant posterior horn through posteromedial portal between January 2013...

Background: Early clinical results of anterolateral ligament (ALL) reconstruction are promising, but concerns exist due to high rates complications after other types lateral extra-articular tenodesis. The rate surgery combined anterior cruciate (ACL) and ALL is not known. Purpose: To determine the reoperation ACL reconstruction. Study Design: Case series; Level evidence, 4. Methods: A retrospective analysis prospectively collected data from Scientific Network International (SANTI) Group...

PurposeTo evaluate clinical outcomes in professional athletes after combined anterior cruciate ligament (ACL) and anterolateral (ALL) reconstruction at a minimum follow-up of 2 years.MethodsA retrospective analysis prospectively collected data from the Scientific Anterior Cruciate Ligament Network International (SANTI) Study Group database was performed. All who underwent primary ACL ALL between January 2011 March 2016 were included. Patient assessment included physical examination, pre-...

Background: Ramp lesions are defined as a particular type of injury within the posterior horn medial meniscus and its meniscocapsular attachments. Five subtypes have been described: 1, lesion; 2, partial superior 3, inferior lesion or hidden type; 4, complete tear in red zone; 5, double tear. Purpose: (1) To determine prevalence different ramp patients undergoing arthroscopic anterior cruciate ligament reconstruction (ACLR). (2) describe characteristics based on imaging diagnostic...

Secondary meniscectomy rates after repair of longitudinal tears the posterior horn medial meniscus (PHMM) performed concomitantly with anterior cruciate ligament reconstruction (ACLR) are reported to be as high 25% an all inside technique. Posteromedial portal suture hook is emerging technique; however, it unknown whether confers a significantly reduced secondary rate compared current gold standard.The primary objective this study was compare and for PHMM concomitant ACLR. The outcome...

Background: Arthrogenic muscle inhibition (AMI) is a process in which neural after injury or surgery to the knee results quadriceps activation failure and extension deficit. Purpose: To determine incidence spectrum of severity AMI acute anterior cruciate ligament (ACL) using Sonnery-Cottet classification, interobserver reliability classification system, investigate potential important factors associated with ACL injury. Study Design: Case-control study; Level evidence, 3. Methods:...

Background: Septic arthritis of the knee after anterior cruciate ligament (ACL) reconstruction is a rare complication. Its prevalence and characteristics have never been reported among professional athletes. Purpose: To report septic ACL in athletes general population patients. Study Design: Case control study; Level evidence, 3. Methods: A retrospective analysis consecutive series 1957 patients who underwent an between 2003 2008 was performed; 88 were The patient demographics, infection,...

Background: Clinical results of combined anterior cruciate ligament (ACL) and anterolateral (ALL) reconstruction have demonstrated a significant reduction in ACL graft rupture rates improved return to sports compared with isolated 1 . This finding is supported by laboratory studies that lateral extra-articular tenodesis procedures protect the load-sharing it more reliably restoring normal knee kinematics reconstruction. Description: The formed from tripled semitendinosus tendon single strand...