Modified Technique for Combined Reconstruction of Anterior Cruciate Ligament and Anterolateral Ligament

Sasa Jankovic; Goran Vrgoc; Filip Vuletic; Alan Ivkovic

doi:10.1016/j.eats.2020.10.046

Modified Technique for Combined Reconstruction of Anterior Cruciate Ligament and Anterolateral Ligament

Arthrosc Tech. 2021 Jan 16;10(2):e599-e604. doi: 10.1016/j.eats.2020.10.046. eCollection 2021 Feb.

Authors

Sasa Jankovic^{1

2}, Goran Vrgoc^{1

2}, Filip Vuletic^{1

2}, Alan Ivkovic^{1

3

4}

Affiliations

¹ Department for Orthopaedic Surgery, University Hospital "Sveti Duh," Zagreb, Croatia.
² Faculty of Kinesiology, University of Zagreb, Zagreb, Croatia.
³ School of Medicine, University of Zagreb, Zagreb, Croatia.
⁴ Department of Biotechnology, University of Rijeka, Rijeka, Croatia.

Abstract

During the past few decades, surgical techniques for anterior cruciate ligament (ACL) reconstruction have been developing significantly. To date, studies have shown that after ACL reconstruction, rotational stability has a greater impact on the patient's satisfaction, functional scores, and return to sports than translational stability. Although challenged by many authors in the literature, biomechanical studies on the anterolateral ligament (ALL) of the knee and clinical studies regarding ALL reconstruction have been revealing promising results. Thus, the potentially significant role of the ALL in biomechanical load sharing and improving rotational control of the knee has led to the development of various reconstruction techniques whose goal is to achieve simplicity and yield the best results possible. Guided by this idea, we have developed a modified ACL-ALL reconstruction surgical technique. In this article, our simple, bone-saving, anatomic technique to reconstruct both the ACL and ALL using hamstring tendon autograft is described.