Length Changes of the Anterolateral Ligament During Passive Knee Motion

Zens, Martin; Niemeyer, Philipp; Ruhhammer, Johannes; Bernstein, Anke; Woias, Peter; Mayr, H. O.; Südkamp, Norbert P.; Feucht, Matthias J.

doi:10.1177/0363546515594373

Cited by 82 publications

(95 citation statements)

References 39 publications

(75 reference statements)

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“…When performing biomechanical tensile testing of this region, the iliotibial band had almost 50 % more ultimate load, nearly 3 times higher stiffness, and half of the ultimate elongation in comparison to the anterolateral capsule [109]. Studies attempting to evaluate the biomechanical role of this proposed ligament in knee motion contest that it acts as an important stabilizer of internal rotation especially in high flexion angles and suggest a contribution to a high-grade pivot shift [110][111][112]. Historical literature has outlined a contribution of anterolateral structures to rotatory stability [113][114][115], suggesting that the proposed ligamentous structure and structures in anatomic proximity such as the capsulo-osseous layer of the iliotibial band serve a similar biomechanical function.…”

Section: Associated Soft Tissue Injuriesmentioning

confidence: 99%

Kinematic outcomes following ACL reconstruction

Naendrup

Zlotnicki

Chao

et al. 2016

Curr Rev Musculoskelet Med

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Anterior cruciate ligament (ACL) reconstruction aims to restore the translational and rotational motion to the knee joint that is lost after injury. However, despite technical advancements, clinical outcomes are less than ideal, particularly in return to previous activity level. A major issue is the inability to standardize treatment protocols due to variations in materials and approaches used to accomplish ACL reconstruction. These include surgical techniques such as the transtibial and anteromedial portal methods that are currently under use and the wide availability of graft types that will be used to reconstruct the ACL. In addition, concomitant soft tissue injuries to the menisci and capsule are frequently present after ACL injury and, if left unaddressed, can lead to persistent instability even after the ACL has been reconstructed. Advances in the field of biomechanics that help to objectively measure motion of the knee joint may provide more precise data than current subjective clinical measurements. These technologies include extra-articular motion capture systems that measure the movement of the tibia in relation to the femur. With data gathered from these devices, a threshold for satisfactory knee stability may be established in order to correctly identify a successful reconstruction following ACL injury.

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Section: Associated Soft Tissue Injuriesmentioning

confidence: 99%

Kinematic outcomes following ACL reconstruction

Naendrup

Zlotnicki

Chao

et al. 2016

Curr Rev Musculoskelet Med

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“…Zens et al (19) y Kittl et al (46) realizaron estudios biomecánicos en cadáver teniendo en cuenta la localización definida por Claes (1) , anterior y distal al epicóndilo, y observaron un aumento de la longitud de manera uniforme desde la extensión completa hasta los 90° de flexión. Las rotaciones modificaban la longitud, aumentando la longitud en el caso de la rotación interna y disminuyendo en la externa.…”

Section: Biomecánicaunclassified

“…Parece ser que presenta mayor tensión en grados cercanos a la extensión (1,(8)(9)(10)13,16,17) , pero estudios recientes defienden su control a mayor flexión de rodilla (15,(18)(19)(20)(21) . Para el diagnóstico de esta lesión se ha puesto de manifiesto ser el causante del pivot shift en la exploración, aunque este concepto es controvertido (22)(23)(24)(25)(26) .…”

Section: Introductionunclassified

Revisión sistemática: ligamento anterolateral de la rodilla

Cáceres¹,

Vázquez²,

Espejo-Reina³

et al. 2018

REACA

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“…This is in contrast to a graft placed in the position originally described by Claes anterior and distal to the lateral epicondyle where the graft would be tight in flexion but loose in extension. [13][14][15] Plus, this chosen position avoids the lateral collateral femoral attachment as depicted with the cadaver dissection (Fig 4).…”

Section: Femoral and Tibial Exposurementioning

confidence: 99%

Minimally Invasive Anterolateral Ligament Reconstruction of the Knee

Smith

Bley

2016

Arthroscopy Techniques

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Anterior cruciate ligament (ACL) tears are among the most common knee injuries, and multiple reconstructive techniques have been described. However, studies frequently report an inability to duplicate native, dynamic knee function, particularly rotationally. This residual joint laxity that occasionally follows an ACL reconstruction can cause further problems post surgical intervention, including meniscal tears and especially late osteoarthritic change. Additionally, ACL graft retears are a concern, particularly in young patients. Although these undesired sequelae of ACL reconstruction could be a by-product of insufficient ACL reconstruction methods related to either graft placement or problems with graft healing and biology, it is also possible that failure to additionally address lateral extra-articular structures after ACL injury could play a role in the residual knee laxity of the affected knee. The purpose of this article is to show a minimally invasive technique for extra-articular anterolateral ligament reconstruction.

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Length Changes of the Anterolateral Ligament During Passive Knee Motion

Cited by 82 publications

References 39 publications

Kinematic outcomes following ACL reconstruction

Kinematic outcomes following ACL reconstruction

Revisión sistemática: ligamento anterolateral de la rodilla

Minimally Invasive Anterolateral Ligament Reconstruction of the Knee

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