Athanasiou Vasileios, Panagopoulos Andreas, Kouzelis Antonios, Kokkalis Zinon T, Lakoumentas John, Katsanos Konstantinos, Gliatis John
Orthopaedic Department, Patras University Hospital, Greece.
Medical Physics Department, Medical School, University of Patras, Patras, Greece.
Orthop Rev (Pavia). 2022 Oct 4;14(4):38651. doi: 10.52965/001c.38651. eCollection 2022.
The anterolateral complex (ALC) of the knee has gained increased interest over the last decades due to the high revision rates of anterior cruciate ligament reconstruction (ACLR). Furthermore, in patients with an ACL tear, the injury of at least one of the ALC's anatomic structures has been shown to be significantly higher, thus affecting its secondary stabilizing role at the knee joint. As such, ACLR augmentation techniques, that embrace the ALC, have been proposed recently, and indications for these procedures are still evolving. This review aims to present and discuss the most current anatomical, biomechanical, and imaging data, current reconstruction techniques, and the clinical results of ALC reconstruction.
在过去几十年里,由于前交叉韧带重建(ACLR)的高翻修率,膝关节前外侧复合体(ALC)越来越受到关注。此外,在ACL撕裂的患者中,ALC至少一个解剖结构的损伤已被证明明显更高,从而影响其在膝关节的二级稳定作用。因此,最近有人提出了包含ALC的ACLR增强技术,这些手术的适应症仍在不断发展。本综述旨在介绍和讨论最新的解剖学、生物力学和影像学数据、当前的重建技术以及ALC重建的临床结果。