Anterolateral ligament as a main stabilizing structure оf rotational stability оf the knee joint

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Abstract

Currently, anterior cruciate ligament grafting is one of the most popular operations on the knee joint, but despite the fact that the technique has been used for years, there is a high percentage of unsatisfactory long-term postoperative results, reaching 25%, according to various authors. The concern over this problem has led to an increase in the number of studies aimed at the understanding of the causes of these failures. Most researchers have concluded that the unsatisfactory results are associated with instability in the knee joint, which is caused by the damage of a ligamentous structure found in many dissections, namely, anterolateral ligament (ALL). In this literature review, we have analyzed the articles dedicated to the ALL, its anatomical and histological structure, its biomechanics, as well as its role in the anterolateral stability of the joint. Also in this review we consider the existing surgical methods for the correction of anterolateral instability associated with the ALL damage.

About the authors

Alena A. Epshtein

Peoples Friendship University of Russia, Medical Institute

Author for correspondence.
Email: alena.epshtein@gmail.com
ORCID iD: 0000-0003-4176-7489
SPIN-code: 7418-8327

аспирант кафедры травматологии и ортопедии

Russian Federation, 6, Miklukho-Maklaya street, Moscow, 117198

A. P. Prizov

Peoples Friendship University of Russia, Medical Institute

Email: aprizov@yandex.ru
ORCID iD: 0000-0003-3092-9753
SPIN-code: 6979-6480

канд. мед. наук, доцент кафедры травматологии и ортопедии

Russian Federation, 6, Miklukho-Maklaya street, Moscow, 117198

F. L. Lazko

Peoples Friendship University of Russia, Medical Institute

Email: fedor_lazko@mail.ru
ORCID iD: 0000-0001-5292-7930
SPIN-code: 8504-7290

д-р мед. наук, доцент, профессор кафедры травматологии и ортопедии

Russian Federation, 6, Miklukho-Maklaya street, Moscow, 117198

N. V. Zagorodniy

Peoples Friendship University of Russia, Medical Institute

Email: akhpashev@yandex.ru
SPIN-code: 6889-8166

д-р. мед. наук, профессор, член-корр. РАН, зав. кафедрой травматологии и ортопедии

Russian Federation, 6, Miklukho-Maklaya street, Moscow, 117198

A. A. Akhpashev

Peoples Friendship University of Russia, Medical Institute; Academy of Postgraduate Education under the FSBU «Federal Scientific and Clinical Center for Specialized Medical Assistance and Medical Technologies of the Federal Medical Biological Agency»

Email: akhpashev@yandex.ru
SPIN-code: 9965-1828

канд. мед. наук, доцент кафедры травматологии и ортопедии; зав. кафедрой травматологии и ортопедии 

Russian Federation, 6, Miklukho-Maklaya street, Moscow, 117198; 28, Orekhovy boulevard, Moscow, 115682

References

  1. Kakarlapudi TK, Bickerstaff DR. Knee instability isolated and complex. West J Med. 2001; 174(4): 266–272.
  2. Nicholas JA. The five one reconstruction for antero medial instability of the knee. Indications, technique, and the results in fifty-two patients. J Bone Joint Surg Br. 1973;55(5):899–922.
  3. Гиршин С.Г., Лазишвили Г.Д., Дубров В.Э. Повреждения и заболевания мышц, сухожилий и связок (клинический опыт и обзор литературы). — М.: ИПК Дом книги; 2013. — С. 248–250. [Girshin SG, Lazishvili GD, Dubrov VE. Povrezhdeniya i zabolevaniya myshts, sukhozhilij i svyazok (klinicheskij opyt i obzor literatury). Moscow: IPK Dom knigi; 2013. рр. 248–250. (In Russ).]
  4. Капанджи А.И. Нижняя конечность. Функциональная анатомия. 6-е изд. Т.2. — М.: Эксмо; 2009. — 313 с. [Kapandzhi AI. Nizhnyaya konechnost’. Funktsional’naya anatomiya. 6th ed. Vol. 2. Moscow: Eksmo; 2009. 313 р. (In Russ).]
  5. Garett JC, Stensen RN. Meniscal transplantation in the human knee: a preliminary report. Arthroscopy. 1991;7(1):57–62.
  6. Amis AА, Bull MJ, Lie DT. Biomechanics of rotational instability and anatomic anterior cruciate ligament reconstruction. Oper Tech Orthop. 2005;15(1):29–35. doi: 10.1053/j.oto.2004.10.009.
  7. Slocum DB, Larson RL. Rotatory instability of the knee. Its pathogenesis and a clinical test to demonstrate its presence. J Bone Joint Surg Am. 1968;50(2):211–225. doi: 10.2106/00004623-196850020-00001.
  8. Zantop T, Schumacher T, Diermann N, et al. Anterolateral rotational knee instability: role of posterolateral structures. Arch Orthop Trauma Surg. 2007;127(9):743–752. doi: 10.1007/s00402-006-0241-3.
  9. Freedman KB, D’Amato MJ, Nedeff DD, et al. Arthroscopic anterior ligament reconstruction: a metaanalysis comparing patellar tendon and hamstring tendon autografts. Am J Sports Med. 2003;31(1):2–11. doi: 10.1177/03635465030310011501.
  10. Claes S, Vereecke E, Maes M, et al. Anatomy of the anterolateral ligament of the knee. J Anat. 2013;223(4):321–328. doi: 10.1111/joa.12087.
  11. Segond P. Recherches cliniques et experimentales sur les epanchements sanguins du genou par entorse. Prog Med. 1879;16:297–341 [Segond fracture].
  12. Hughston JC, Andrews JR, Cross MJ, Moschi A. Classification of knee ligament instabilities. Part II. The lateral compartment. J Bone Joint Surg Am. 1976;58(2):173–179. doi: 10.2106/00004623-197658020-00002.
  13. Goldman AB, Pavlov H, Rubenstein D. The Segond fracture of the proximal tibia: a small avulsion that reflects major ligamentous damage. AJR Am J Roentgenol. 1988;151(6):1163–1167. doi: 10.2214/ajr.151.6.1163.
  14. Hess T, Rupp S, Hopf T, et al. Lateral tibial avulsion fractures and disruptions to the anterior cruciate ligament. A clinical study of their incidence and correlation. Clin Orthop Relat Res. 1994;(303):193–197. doi: 10.1097/00003086-199406000-00025.
  15. Campos JC, Chung CB, Lektrakul N, et al. Pathogenesis of the Segond fracture: anatomic and MR imaging evidence of an iliotibial tract or anterior oblique band avulsion. Radiology. 2001;219(2):381–386. doi: 10.1148/radiology.219.2.r01ma23381.
  16. Haims AH, Medvecky MJ, Pavlovich R Jr, Katz LD. MR imaging of the anatomy of and injuries to the lateral and posterolateral aspects of the knee. AJR Am J Roentgenol. 2003;180(3):647–653. doi: 10.2214/ajr.180.3.1800647.
  17. Vincent JP, Magnussen RA, Gezmez F, et al. The anterolateral ligament of the human knee: an anatomic and histologic study. Knee Surg Sports Traumatol Arthrosc. 2012;20(1):147–152. doi: 10.1007/s00167-011-1580-3.
  18. Caterine S, Litchfield R, Johnson M, et al. A сadaveric study of the anterolateral ligament: re-introducing the lateral capsular ligament. Knee Surg Sports Traumatol Arthrosc. 2015;23(11):3186–3195. doi: 10.1007/s00167-014-3117-z.
  19. Tancja AK, Miranda FC, Braga CA, et al. MRI features of the anterolateral ligament of the knee. Skeletal Radiol. 2015;44(3):403–410. doi: 10.1007/s00256-014-2052-x.
  20. Helito CP, Demange MK, Bonadio MB, et al. Anatomy and histology of the knee anterolateral ligament. Orthop J Sports Med. 2013;1(7):2325967113513546. doi: 10.1177/2325967113513546.
  21. Parsons EM, Gee AO, Spiekerman C, Cavanagh PR. The biomechanical function of the anterolateral ligament of the knee. Am J Sports Med. 2015;43(8):NP22. doi: 10.1177/0363546515597218.
  22. Meredick RB, Vance KJ, Appleby D, Lubowitz JH. Outcome of single-bundle versus double-bundle reconstruction of the anterior cruciate ligament: a meta-analysis. Am J Sports Med. 2008;36(7):1414–1421. doi: 10.1177/0363546508317964.
  23. Slette EL, Mikula JD, Schon JM, et al. Biomechanical results of lateral extra-articular tenodesis procedures of the knee: a systematic review. Arthroscopy. 2016;32(12):2592–2611. doi: 10.1016/j.arthro.2016.04.028.
  24. Sonnery-Cottet B, Barbosa NC, Tuteja S, et al. Minimally invasive anterolateral ligament reconstruction in the setting of anterior cruciate ligament injury. Arthrosc Tech. 2016;5(1):e211–215. doi: 10.1016/j.eats.2015.11.005.

Supplementary files

Supplementary Files
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2. Fig. 1. Stages of extraarticular tenodesis or tibial tract in the plasty of the anterolateral ligament

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3. Fig. 2. Stages of simultaneous plastic anterior cruciate and anterolateral ligaments of the knee joint

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Copyright (c) 2019 Epshtein A.A., Prizov A.P., Lazko F.L., Zagorodniy N.V., Akhpashev A.A.

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

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