London, United Kingdom.
Arthroscopy. 2018 Apr;34(4):1015-1021. doi: 10.1016/j.arthro.2017.12.026.
In the following editorial commentary, the lateral soft tissues responsible for resisting the pivot shift phenomenon with the anterior cruciate ligament (ACL) are considered. The recent history of the anterolateral ligament (ALL) has led to rapid adoption of surgical techniques that have often not been investigated with scientific due process. A step-by-step approach starts with biomechanical testing to establish the anatomy and biomechanical characteristics of soft tissue structures and questions the importance of the ALL and proposes a more important role for the iliotibial band (ITB) passing between attachments to the distal lateral femur and tibia. Subsequent laboratory testing of various operative options shows superiority of lateral extra-articular tenodeses (LETs) as compared with ALL reconstruction.
在以下社论评论中，考虑了与前交叉韧带 (ACL) 一起抵抗枢轴转移现象的侧方软组织。最近前外侧韧带 (ALL) 的历史导致了外科技术的快速采用，而这些技术通常没有经过科学的适当程序进行研究。一个循序渐进的方法从生物力学测试开始，以确定软组织结构的解剖和生物力学特征，并质疑 ALL 的重要性，并提出 ITB（阔筋膜张肌带）在通过附着于远端外侧股骨和胫骨之间的作用更为重要。随后对各种手术选择的实验室测试表明，与 ALL 重建相比，外侧关节外 Tenodeses (LETs) 具有优越性。
