Surgical Dissection of the Anterolateral Ligament

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Presentation transcript:

Surgical Dissection of the Anterolateral Ligament Matthew Daggett, D.O., M.B.A., Kyle Busch, B.S., M.S., Bertrand Sonnery-Cottet, M.D.  Arthroscopy Techniques  Volume 5, Issue 1, Pages e185-e188 (February 2016) DOI: 10.1016/j.eats.2015.10.019 Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 1 Identification of the iliotibial band, Gerdy tubercle, and fibular head is necessary for dissection of the anterolateral ligament (right knee specimen in supine position). Arthroscopy Techniques 2016 5, e185-e188DOI: (10.1016/j.eats.2015.10.019) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 2 Careful reflection of the iliotibial band to the Gerdy tubercle is required for visualization of the anterolateral ligament (right knee specimen in supine position). The fibers of the anterolateral ligament are often in close proximity to the deep fibers of the iliotibial band, and meticulous dissection is required to isolate these two structures. Arthroscopy Techniques 2016 5, e185-e188DOI: (10.1016/j.eats.2015.10.019) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 3 Reflection of the biceps femoris (BF) and posterior capsulectomy are performed to identify the posterior border of the anterolateral ligament (ALL) (right knee specimen in supine position). Arthroscopy Techniques 2016 5, e185-e188DOI: (10.1016/j.eats.2015.10.019) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 4 After completion of the posterior capsulectomy, the capsule anterior to the anterolateral ligament (ALL) can be removed (right knee specimen in supine position). (BF, biceps femoris; LCL, lateral collateral ligament.) Arthroscopy Techniques 2016 5, e185-e188DOI: (10.1016/j.eats.2015.10.019) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 5 After careful dissection, the entirety of the anterolateral ligament (ALL) can be identified as it overlaps the lateral collateral ligament (LCL) (right knee specimen in supine position). The ALL originates near the lateral epicondyle (LE) and inserts onto the tibia between the Gerdy tubercle and the fibular head. Arthroscopy Techniques 2016 5, e185-e188DOI: (10.1016/j.eats.2015.10.019) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions