Approach to Residual Anterolateral Rotatory Knee Instability After Anterior Cruciate Ligament Reconstruction

被引：0

作者：

Firoozabadi, Mohammad Ayati ^{[1
,2
,3
]}

Seyedtabaei, Seyed Mohammad Milad ^{[1
,2
,3
]}

Rezaee, Hesan ^{[1
,2
,3
]}

Mortazavi, Seyed Mohammad Javad ^{[1
,2
,3
]}

机构：

[1] Univ Tehran Med Sci, Imam Khomeini Hosp Complex, Tehran, Iran

[2] Univ Tehran Med Sci, Joint Reconstruct Res Ctr, Tehran, Iran

[3] Univ Tehran Med Sci, Imam Khomeini Hosp Complex, Dept Orthoped Surg, Tehran, Iran

来源：

JBJS OPEN ACCESS | 2025年 / 10卷 / 02期

关键词：

FEMORAL TUNNEL PLACEMENT; EXTRAARTICULAR TENODESIS; ROTATIONAL LAXITY; PIVOT-SHIFT; ACL RECONSTRUCTION; ILIOTIBIAL BAND; BIOMECHANICS; ANATOMY; BUNDLES;

D O I：

10.2106/JBJS.OA.25.00002

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

>> Arthroscopic anterior cruciate ligament (ACL) reconstruction is widely regarded for its excellent results in restoring tibiofemoral anterior laxity to near-normal levels. >> However, some operated patients may still experience anterolateral rotatory instability, leading to dissatisfaction and feelings of instability. After ruling out injuries to the posteromedial corner, lateral collateral ligament, and posterolateral corner, the focus should shift to the anterolateral ligament (ALL) and Kaplan fibers. >> For ALL injuries causing internal rotatory instability at around 30 degrees knee flexion, a modified deep Lemaire tenodesis is recommended. >> Kaplan fiber injuries leading to internal rotatory instability at angles greater than 30 degrees knee flexion can be treated with a modified superficial Lemaire surgery and iliotibial band strap fixation in the distal Kaplan fiber anatomical position.

引用

页数：10

共 54 条

[21] Is anterolateral ligament rupture a reason for persistent rotational instability after anterior cruciate ligament reconstruction? [J].