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Arthroscopy Techniques
Article . 2014 . Peer-reviewed
License: CC BY NC ND
Data sources: Crossref
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Arthroscopy Techniques
Article . 2014
Data sources: DOAJ
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Arthroscopic Identification of the Anterolateral Ligament of the Knee

Authors: Bertrand Sonnery-Cottet, M.D.; Pooler Archbold, M.D.; Fernando C. Rezende, M.D.; Ayrton M. Neto, M.D.; Jean-Marie Fayard, M.D.; Mathieu Thaunat, M.D.;

Arthroscopic Identification of the Anterolateral Ligament of the Knee

Abstract

Abstract Intense interest has focused on the recent description of the anterolateral ligament of the knee. Advancing knowledge of its anatomy and function is leading to a realization of its importance in the rotatory control of the tibia in anterior cruciate ligament injuries. Reconstruction of this structure will increasingly become an important goal during anterior cruciate ligament reconstruction. However, preoperative assessment of this ligament is difficult. Clinical assessment of rotatory laxity has poor reproducibility, and it is difficult to define using current imaging techniques. This article is the first to describe a safe and reproducible arthroscopic technique to allow identification and examination of the anterolateral ligament of the knee. With the knee at 90° of flexion, the arthroscope is introduced through the anterolateral portal to allow clear visualization of the lateral gutter. Under direct vision, an accessory portal is made over the inferior limit of the lateral gutter. A shaver is then introduced through this portal and used to debride this synovial recess and define the anterolateral ligament. This allows the surgeon to examine the integrity of the anterolateral ligament, in particular its femoral insertion. If required, this additional information can facilitate the performance of a more accurate and effective extra‐articular reconstruction. Technique Video video See video under supplementary data.

Keywords

Orthopedic surgery, RD701-811

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    influence
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
42
Top 10%
Top 10%
Top 10%
gold