Anterolateral Extra-articular Soft Tissue Reconstruction in Anterolateral Rotatory Instability of the Knee

Anterolateral Extra-articular Soft Tissue Reconstruction in Anterolateral Rotatory Instability of the Knee

Anterolateral rotatory instability (ALRI) occurs after injury to the anterior cruciate ligament (ACL) and the anterolateral structures of the knee. We present a technique for anterolateral extra-articular soft-tissue (ALES) reconstruction of the knee that can be used in revision ACL reconstruction c...

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Main Authors: Willem A. Kernkamp, M.D., Samuel K. van de Velde, M.D., M.P.H., Eric W.P. Bakker, Ph.D., Ewoud R.A. van Arkel, M.D., Ph.D.
Format: Article
Language:English
Published: Elsevier 2015-12-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628715001425
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spelling doaj-7309af86baed49b1a2d9bb54f57d5f392021-06-10T04:52:21ZengElsevierArthroscopy Techniques2212-62872015-12-0146e863e867Anterolateral Extra-articular Soft Tissue Reconstruction in Anterolateral Rotatory Instability of the KneeWillem A. Kernkamp, M.D.0Samuel K. van de Velde, M.D., M.P.H.1Eric W.P. Bakker, Ph.D.2Ewoud R.A. van Arkel, M.D., Ph.D.3Department of Orthopedic Surgery, Medical Center Haaglanden, The Hague, The Netherlands; Address correspondence to Willem Alexander Kernkamp, M.D., Department of Orthopedic Surgery, Medical Center Haaglanden, 2512 VA, The Hague, Lijnbaan 32, The Netherlands.Department of Orthopedic Surgery, Medical Center Haaglanden, The Hague, The NetherlandsKennis- en Behandelcentrum Fysiothearpie en Manuele Therapie, The Hague, The NetherlandsDepartment of Orthopedic Surgery, Medical Center Haaglanden, The Hague, The NetherlandsAnterolateral rotatory instability (ALRI) occurs after injury to the anterior cruciate ligament (ACL) and the anterolateral structures of the knee. We present a technique for anterolateral extra-articular soft-tissue (ALES) reconstruction of the knee that can be used in revision ACL reconstruction cases, cases of persistent ALRI after adequate ACL reconstruction, and cases with severe ALRI after primary ACL rupture. The surgeon performs ALES reconstruction with a strip of iliotibial tract autograft while respecting the anatomic origin and insertion of the anterolateral ligament. The purpose of this reconstruction is to restore the normal anterolateral rotatory stability of the knee in ALES-deficient patients.http://www.sciencedirect.com/science/article/pii/S2212628715001425
collection DOAJ
language English
format Article
sources DOAJ
author Willem A. Kernkamp, M.D.
Samuel K. van de Velde, M.D., M.P.H.
Eric W.P. Bakker, Ph.D.
Ewoud R.A. van Arkel, M.D., Ph.D.
spellingShingle Willem A. Kernkamp, M.D.
Samuel K. van de Velde, M.D., M.P.H.
Eric W.P. Bakker, Ph.D.
Ewoud R.A. van Arkel, M.D., Ph.D.
Anterolateral Extra-articular Soft Tissue Reconstruction in Anterolateral Rotatory Instability of the Knee
Arthroscopy Techniques
author_facet Willem A. Kernkamp, M.D.
Samuel K. van de Velde, M.D., M.P.H.
Eric W.P. Bakker, Ph.D.
Ewoud R.A. van Arkel, M.D., Ph.D.
author_sort Willem A. Kernkamp, M.D.
title Anterolateral Extra-articular Soft Tissue Reconstruction in Anterolateral Rotatory Instability of the Knee
title_short Anterolateral Extra-articular Soft Tissue Reconstruction in Anterolateral Rotatory Instability of the Knee
title_full Anterolateral Extra-articular Soft Tissue Reconstruction in Anterolateral Rotatory Instability of the Knee
title_fullStr Anterolateral Extra-articular Soft Tissue Reconstruction in Anterolateral Rotatory Instability of the Knee
title_full_unstemmed Anterolateral Extra-articular Soft Tissue Reconstruction in Anterolateral Rotatory Instability of the Knee
title_sort anterolateral extra-articular soft tissue reconstruction in anterolateral rotatory instability of the knee
publisher Elsevier
series Arthroscopy Techniques
issn 2212-6287
publishDate 2015-12-01
description Anterolateral rotatory instability (ALRI) occurs after injury to the anterior cruciate ligament (ACL) and the anterolateral structures of the knee. We present a technique for anterolateral extra-articular soft-tissue (ALES) reconstruction of the knee that can be used in revision ACL reconstruction cases, cases of persistent ALRI after adequate ACL reconstruction, and cases with severe ALRI after primary ACL rupture. The surgeon performs ALES reconstruction with a strip of iliotibial tract autograft while respecting the anatomic origin and insertion of the anterolateral ligament. The purpose of this reconstruction is to restore the normal anterolateral rotatory stability of the knee in ALES-deficient patients.
url http://www.sciencedirect.com/science/article/pii/S2212628715001425
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