“Guideline” to define the Indication of anterolateral ligament reconstruction associated to an ACL surgery.

Abstract

Abstract

The purpose of this study is to describe a “Guideline” to be followed by surgeons in order to decide the need to perform an Anterolateral ligament Reconstruction (ALL-R) together with an Anterior cruciate ligament (ACL) reconstruction or revision. This “Guideline for ALL-R” is based on indications suggested in literature. The Guideline includes 5 Major criteria: Pivot shift grade III, Contact sports, Competitive Athletes, ≤ 25 year-old, ACL Revision. Nine minor criteria: Hyperlaxity, KT-1000  with ≥ 8 mm, Chronic instability, meniscal lesion background, Contralateral knee instability, Body Mass Index  ≥30, Segond fracture, Tibial plateau slope ≥10°, severe anterior translation of the tibia.

In conclusion, this guideline allows to standardize the indication of ALL-R that presently depends on each surgeon’s experience and criteria.