Research article - (2016)15, 688 - 696
Anatomic Anterolateral Ligament Reconstruction Improves Postoperative Clinical Outcomes Combined with Anatomic Anterior Cruciate Ligament Reconstruction
Hua Zhang1,, Man Qiu2, Aiguo Zhou1, Jian Zhang1, Dianming Jiang1
1Department of Orthopedics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
2Department of Anesthesiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China

Dianming Jiang
✉ Department of Orthopedics, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
Email: jdmcqmu@163.com
Received: 05-09-2016 -- Accepted: 24-10-2016
Published (online): 01-12-2016
ABSTRACT

A significant cohort of patients is plagued by postoperative rotational instability after the anatomic anterior cruciate ligament (ACL) reconstruction surgery. Anatomic anterolateral ligament (ALL) reconstruction was performed in this study with the aim to assess the clinical role of ALL in knee’s stability and joint functions. Sixty patients were recruited and divided into three groups to perform the operations of anatomic single-bundle ACL reconstruction, anatomic double-bundle ACL reconstruction, and anatomic single-bundle ACL reconstruction + anterolateral ligament reconstruction, respectively. And then postoperative knee’s stability and joint functions were evaluated to compare the clinical outcomes among the three different kind of operations. The postoperative knee’s stability and joint functions of the anatomic double-bundle ACL reconstruction group and the anatomic single-bundle ACL reconstruction + ALL reconstruction group were better than the anatomic single-bundle ACL reconstruction group. No significant difference was observed between the anatomic double-bundle ACL reconstruction group and the anatomic single-bundle ACL reconstruction + ALL reconstruction group. The anatomic anterolateral ligament reconstruction could improve the clinical outcomes after patients performed the anatomic single-bundle anterior cruciate ligament reconstruction. This indicates that the anterolateral ligament plays a crucial role in knee’s stability and joint function, especially the rotational stability.
Key words: Anterolateral ligament, anterior cruciate ligament, anatomic reconstruction, clinical outcomes

Key Points
  • Anatomic anterolateral ligament reconstruction combined with anatomic anterior cruciate ligament reconstruction was performed to treat the patients with ACL rupture.
  • Compared to the anatomic single-bundle ACL reconstruction group, the anatomic single-bundle ACL reconstruction + ALL reconstruction group achieve a better clinical outcomes.
  • The results suggest that the anterolateral ligament plays a crucial role in knee’s stability and joint function, especially the rotational stability.








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Anatomic Anterolateral Ligament Reconstruction Improves Postoperative Clinical Outcomes Combined with Anatomic Anterior Cruciate Ligament Reconstruction
Hua Zhang, Man Qiu, Aiguo Zhou, Jian Zhang, Dianming Jiang
2016(15), 688 - 696.
DOI: https://doi.org/