Arthroscopy. 2019 Mar;35(3):893-895. doi: 10.1016/j.arthro.2018.12.018.
The highly debatable and contentious anterolateral ligament (ALL) and its use as an augmentation for the anterior cruciate ligament (ACL)-deficient 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.
高度有争议和有争议的前外侧韧带（ALL）及其作为前交叉韧带（ACL）缺陷膝关节在 ACL 重建中增强的用途在文献中继续流行，但证据将在临床结果中。尽管存在 ALL 争议，但从辩论双方的作者身上明显看出的是，ACL 缺陷膝关节中不仅仅只有 ACL。ALL 增强或外侧关节外腱固定术的技术继续显示出希望，即外侧软组织结构可能为残留枢轴和更好的结果、更高的重返运动率和更低的破裂率提供答案。许多作者和研究人员认为，这在 ACL 重建的高风险情况下可能是一个关键的辅助手段。但实践是检验真理的唯一标准。
