Hopper Graeme P, Vieira Thais Dutra, Carrozzo Alessando, Monaco Edoardo, Claes Steven, Saithna Adnan, Helito Camilo P, Cavaignac Etienne, Sonnery-Cottet Bertrand
South Glasgow University Hospitals NHS Trust, NHS Greater Glasgow and Clyde, Glasgow, UK.
Centre Orthopédique Santy, FIFA Medical Centre of Excellence, Groupe Ramsay-Générale de Santé, Hopital Privé Jean Mermoz, Lyon, France.
Video J Sports Med. 2023 Sep 11;3(5):26350254231176826. doi: 10.1177/26350254231176826. eCollection 2023 Sep-Oct.
Combining an anterior cruciate ligament (ACL) reconstruction with an anterolateral ligament (ALL) reconstruction results in significant advantages including reduced graft rupture rates, a lower risk of reoperation for secondary meniscectomy, improved knee stability, and higher rates of return to preinjury levels of sport.
The previously reported indications for combined ACL and ALL reconstruction are as follows: ACL reconstruction revision; high-grade pivot shift test; long-term ACL rupture; young patients; pivoting activities; concomitant medial meniscus repair, and, specifically, regarding the ALL repair, it must be an acute surgery (within 15 days from injury).
Several modern techniques have been described to repair and reconstruct the ALL. This technical note details a number of these techniques performed by the Scientific Anterior Cruciate Ligament Network International (SANTI) Study Group.
First, we describe a combined ACL reconstruction and double-bundle ALL reconstruction using hamstring autograft. Secondly, we describe a single-bundle ALL reconstruction using gracilis autograft. Thirdly, we describe an ALL reconstruction technique using a knotless soft anchor, which provides shallow fixation and prevents tunnel convergence. Finally, we describe a technique for ALL repair.
Several techniques have been described to repair and reconstruct the ALL, all offering significant advantages over an isolated ACL reconstruction.
The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.
将前交叉韧带（ACL）重建与外侧副韧带（ALL）重建相结合具有显著优势，包括降低移植物破裂率、二次半月板切除术的再次手术风险降低、膝关节稳定性提高以及恢复到伤前运动水平的比例更高。
先前报道的联合ACL和ALL重建的适应症如下：ACL重建翻修术；高级别轴移试验阳性；长期ACL断裂；年轻患者；旋转活动；合并内侧半月板修复，具体而言，关于ALL修复，必须是急诊手术（伤后15天内）。
已经描述了几种修复和重建ALL的现代技术。本技术说明详细介绍了国际前交叉韧带科学网络（SANTI）研究小组所采用的其中一些技术。
首先，我们描述了使用自体腘绳肌腱进行联合ACL重建和双束ALL重建。其次，我们描述了使用自体股薄肌进行单束ALL重建。第三，我们描述了一种使用无结软锚钉的ALL重建技术，该技术提供浅固定并防止隧道汇聚。最后，我们描述了一种ALL修复技术。
已经描述了几种修复和重建ALL的技术，所有这些技术与单纯ACL重建相比都具有显著优势。
作者证明已获得本出版物中出现的任何患者的同意。如果个体可能被识别，作者已随本投稿附上患者的豁免声明或其他书面批准形式以供发表。
