Controversies of the Anterolateral Complex of the Knee: An In-Depth Analysis

This issue of Clinics in Sports Medicine, guest edited by Dr. Freddie H. Fu, delves into the intricacies of the anterolateral complex of the knee. The comprehensive analysis covers a range of topics, providing a detailed understanding of the anatomical, biomechanical, and clinical aspects of the anterolateral ligament and its associated structures.

Anatomical Description of the Anterolateral Complex of the Knee

The anterolateral complex of the knee comprises a group of structures that play a crucial role in maintaining knee stability. This section provides an in-depth anatomical description of these structures, shedding light on their composition, function, and interplay.

Biomechanical Proof for the Existence of the Anterolateral Ligament

This section presents biomechanical evidence supporting the existence and importance of the anterolateral ligament. Through a series of experiments and studies, the authors demonstrate the ligament’s role in resisting external rotation and anterior translation of the tibia.

Biomechanics of the Anterolateral Structures of the Knee

This chapter explores the biomechanical properties of the anterolateral structures, including their stiffness, strength, and load-bearing capacity. The authors discuss how these properties influence the knee’s overall stability and function.

Mechanical Properties of the Anterolateral Structures and Their Clinical Implications

This section delves into the mechanical properties of the anterolateral structures and their implications for clinical practice. The authors discuss how understanding these properties can inform surgical techniques and rehabilitation protocols.

Extra Articular Tenodesis in Combination with ACL Reconstruction

This chapter examines the role of extra-articular tenodesis in combination with anterior cruciate ligament (ACL) reconstruction. The authors discuss the potential benefits and drawbacks of this approach, as well as its indications and contraindications.

The Role of an Extra-Articular Reconstructive Surgery in Primary ACL Reconstructions

This section explores the role of extra-articular reconstructive surgery in primary ACL reconstructions. The authors present the latest research on this topic, including the potential benefits of this approach and its impact on patient outcomes.

The Role of an Extra-Articular Tenodesis in Revision ACL Reconstruction

This chapter discusses the role of extra-articular tenodesis in revision ACL reconstruction. The authors address the challenges of revision surgery and how the addition of an extra-articular tenodesis can improve outcomes in these complex cases.

The Effect of an Extra-Articular Tenodesis on the Contact Pressure in the Lateral Compartment of the Knee

This section presents research on the effect of an extra-articular tenodesis on the contact pressure in the lateral compartment of the knee. The authors discuss the implications of these findings for surgical decision-making and postoperative rehabilitation.

The State of the Evidence in ALL Research

This final chapter provides an overview of the current state of evidence in anterolateral ligament (ALL) research. The authors summarize the key findings from recent studies and discuss the future directions for research in this area.