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The anterolateral ligament of the knee joint: anatomy, biomechanics and surgical procedures
Arthrosc Orthop Sports Med 2023;10:45-54
Published online November 1, 2023;  https://doi.org/10.14517/aosm23013
© 2023 Korean Arthroscopy Society and Korean Orthopedic Society for Sports Medicine.

Ki Tae Park, Dong Wook Son, Jun Yeop Lee, Jin Kwang Lee, Ji Hyun Ahn

Department of Orthopaedic Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea
Correspondence to: Ji Hyun Ahn, https://orcid.org/0000-0001-9455-8504
Department of Orthopaedic Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, 29 Saemunan-ro, Jongno-gu, Seoul 03181, Korea. Tel: +82-2-2001-2168, Fax: +82-2-2001-2176, E-mail: drsky7171@gmail.com
Received August 30, 2023; Revised October 2, 2023; Accepted October 3, 2023.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
The anterolateral ligament (ALL), first described in 1879 by the French surgeon Paul Segond, is a ligament on the lateral aspect of the knee that originates from the lateral femoral epicondyle to midway between Gerdy’s tubercle and the head of the fibula. However, there is a lack of agreement regarding the anatomical aspects, such as its bony origin and biomechanical properties. Establishing the surgical procedure for ALL reconstruction or anterolateral tenodesis requires consideration of these two crucial factors. While initial biomechanical and clinical evaluations have raised doubts about the efficacy of ALL reconstruction, recent long-term follow-up studies and meta-analyses suggest more favorable surgical outcomes. Further anatomical and biomechanical investigations are needed to optimize surgical techniques. Moreover, comprehensive clinical studies with extended follow-up would be essential to assess clinical efficacy with surgical procedure of ALL.
Keywords : Anterolateral ligament; Anterior cruciate ligament
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