Specialized Toolkit Series: ACL Reconstruction-Anterolateral Ligament Reconstruction

Video Transcription

Video Summary

In this instructional presentation, Adnan Saifner and Bertrand-Henri Cote explain the surgical procedure for Anterolateral Ligament (ALL) reconstruction in conjunction with Anterior Cruciate Ligament (ACL) reconstruction. The presentation underscores the clinical benefits of adding ALL reconstruction, which reduces graft rupture rates. The technique assumes anatomical placement to replicate normal knee kinematics without over-constraining the knee. Two methods are discussed: an independent approach using separate tunnels for ACL and ALL, and a combined approach using a single femoral tunnel to minimize the risk of tunnel collision. Key tips include ensuring correct graft length, using careful drilling techniques, and confirming graft tension to avoid over-constraint. Proper anatomical placement ensures the knee's normal biomechanics, emphasizing that the graft should be tight in extension but lax in flexion.

Asset Caption

Adnan Saithna, M.D., FAANA, Scottsdale, Arizona
Bertrand Sonnery-Cottet, M.D., Lyon, France

Keywords

Anterolateral Ligament

ACL reconstruction

graft rupture rates

knee kinematics

surgical techniques

anatomical precision

Anterolateral Ligament reconstruction

Anterior Cruciate Ligament reconstruction

clinical benefits

graft tension