Overview of the anterolateral complex of the knee

doi:10.12998/wjcc.v10.i24.8474

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World Journal of Clinical Cases

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World J Clin Cases. Aug 26, 2022; 10(24): 8474-8481
Published online Aug 26, 2022. doi: 10.12998/wjcc.v10.i24.8474

Overview of the anterolateral complex of the knee

Ignacio Garcia-Mansilla, Juan Pablo Zicaro, Ezequiel Fernando Martinez, Juan Astoul, Carlos Yacuzzi, Matias Costa-Paz

Ignacio Garcia-Mansilla, Juan Pablo Zicaro, Ezequiel Fernando Martinez, Juan Astoul, Carlos Yacuzzi, Matias Costa-Paz, Knee Surgery, Hospital Italiano de Buenos Aires, Buenos Aires 1199, Argentina

Author contributions: Garcia-Mansilla I designed the study and drafted the manuscript; Zicaro JP performed the literature review and edited the manuscript; Yacuzzi C, Astoul J and Costa-Paz M edited the manuscript; Martinez E performed the cadaver dissection for the figures; all authors approved the final draft of the manuscript.

Conflict-of-interest statement: All the authors have no conflict-of-interest.

Corresponding author: Ignacio Garcia-Mansilla, MD, Associate Specialist, Knee Surgery, Hospital Italiano de Buenos Aires, Peron 4190, Buenos Aires 1199, Argentina. ignaciogmansilla@gmail.com

Received: March 23, 2022
Peer-review started: March 23, 2022
First decision: May 30, 2022
Revised: June 8, 2022
Accepted: July 20, 2022
Article in press: July 20, 2022
Published online: August 26, 2022
Processing time: 145 Days and 23.9 Hours

Core Tip

Core Tip: Although research on anterolateral ligament (ALL) has increased considerably in recent years, some debate remains regarding its anatomy and further refinement is still ongoing. Biomechanical studies have revealed that anterolateral structures contribute significantly to rotational stability of the knee and should be accounted for in the setting of an anterior cruciate ligament (ACL) injury. Surgical indications for ALL reconstruction are not currently evidence-based and the ideal graft type and fixation have not yet been determined. Further clinical research remains to be conducted to determine the most appropriate scenarios for augmentation of a primary ACL reconstruction with an anterolateral procedure to enhance patient outcomes.