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中华关节外科杂志(电子版)

中华关节外科杂志(电子版) ›› 2023, Vol. 17 ›› Issue (04) : 508 -519. doi: 10.3877/cma.j.issn.1674-134X.2023.04.008

荟萃分析

前交叉韧带单束联合前外侧结构重建的Meta分析
邢阳, 何爱珊, 康焱, 杨子波, 孟繁钢, 邬培慧†()   
  1. 510080　广州，中山大学附属第一医院运动医学科
  • 收稿日期:2022-11-09 出版日期:2023-08-01
  • 通信作者: 邬培慧
  • 基金资助:
    国家自然科学基金面上项目(82272449)

Meta-analysis of single-bundle reconstruction combining anterolateral reconstruction of anterior cruciate ligament

Yang Xing, Aishan He, Yan Kang, Zibo Yang, Fangang Meng, Peihui Wu†()   

  1. Department of Sports medicine, First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China
  • Received:2022-11-09 Published:2023-08-01
  • Corresponding author: Peihui Wu
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引用本文：

邢阳, 何爱珊, 康焱, 杨子波, 孟繁钢, 邬培慧. 前交叉韧带单束联合前外侧结构重建的Meta分析[J/OL]. 中华关节外科杂志(电子版), 2023, 17(04): 508-519.

Yang Xing, Aishan He, Yan Kang, Zibo Yang, Fangang Meng, Peihui Wu. Meta-analysis of single-bundle reconstruction combining anterolateral reconstruction of anterior cruciate ligament[J/OL]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(04): 508-519.

目的

比较单束前交叉韧带(ACL)重建联合前外侧结构(ALS)重建与单束前交叉韧带重建两种手术方式的临床效果。

方法

检索电子数据库PubMed、荷兰医学文摘(Embase)、Web of Science、万方数据库和中国知网(CNKI)，并追溯纳入文献的相关参考文献，收集比较单束ACL重建联合ALS重建与单束ACL重建两种手术方式的临床研究，结局指标包括膝关节功能评分、国际膝关节文献委员会(IKDC)评分、Lysholm评分、Tegner评分、胫骨前位移等。排除术后随访时间小于1年、无对照组或非临床研究的相关文献。提取最终纳入的文献进行质量评价和资料，采用RevMan 5.3软件进行统计分析。

结果

最终纳入10项研究，共764例患者，其中单束ACL重建联合ALS重建的345例，单束ACL重建的419例。在胫骨前位移距离[均数差(MD)＝－0.65，95%置信区间(CI)(－0.96，－0.33)，P<0.01]、IKDC评分[MD＝3.90，95%CI(1.96，5.84)，P<0.01]、Lysholm评分[MD＝2.65，95%CI(1.73，3.57)，P<0.01]、Tegner评分[MD＝0.31，95%CI(－0.13，0.75)，P＝0.17]、轴移试验[风险比(RR)＝0.23，95%CI(0.12，0.44)，P<0.01]、Lachman试验[RR＝0.40，95%CI(0.21，0.77)，P<0.01]、减少移植物再撕裂[RR＝0.24，95%CI(0.10，0.54)，P<0.01]等方面，单束ACL重建联合ALS重建均优于单束ACL重建，而在前抽屉试验[RR＝0.67，95%CI(0.24，1.89)，P＝0.44]、重返运动[RR＝1.18，95%CI(0.93，1.48)，P＝0.17]方面两组差异无统计学意义。

结论

单束ACL重建联合ALS重建在膝关节功能评分、稳定性、降低移植物再撕裂风险方面具有一定优势。

关键词: 前交叉韧带, 关节镜检查, 膝, Meta分析
Objective

To compare the clinical outcomes of single-bundle reconstruction combined with anterolateral structure (ALS) reconstruction of anterior cruciate ligament (ACL) and single-bundle ACL reconstruction only.

Methods

A literature search was conducted in PubMed, Excerpta Medical Database (Embase), Web of Science, Wanfang database and China National Knowledge Infrastructure(CNKI). The references in the included literature were tracked, and clinical studies comparing single-bundle ACL reconstruction combined with ALS reconstruction and single-bundle ACL reconstruction were collected and compared, and the outcome indices were knee function scores, International Knee Documentation Committee (IKDC) score, Lysholm score, Tegner score, anterior tibial shift, etc.. The studies with a postoperative follow-up of less than one year, no controlled group or those that were not clinical studies, were excluded. The quality of the final included literatures was evaluated, the data were extracted and statistically analyzed using RevMan 5.3 software.

Results

Ten studies were included, with a total of 764 patients, including 419 patients with single-bundle ACL reconstruction and 345 patients with single-bundle reconstruction combined with ALS reconstruction of ACL. The single-bundle reconstruction combined with ALS reconstruction of ACL were superior than single-bundle ACL reconstruction in the results of anterior tibial shift[mean deviation(MD)=-0.65, 95% confidence interval (CI) (-0.96, -0.33), P<0.01], IKDC score [MD=3.90, 95%CI(1.96, 5.84), P<0.01], Lysholm score [MD=2.65, 95%CI(1.73, 3.57), P<0.01], Tegner score [MD=0.31, 95%CI(-0.13, 0.75), P=0.17], pivot shift test[risk ratio(RR)=0.23, 95%CI(0.12, 0.44), P<0.01], Lachman test [RR=0.40, 95%CI(0.21, 0.77), P<0.01], and reducing the postoperative graft rerupture rate [RR=0.24, 95%CI(0.10, 0.54), P<0.01]; the differences were statistically significant. There was no statistically significant difference in anterior drawer test[RR=0.67, 95%CI(0.24, 1.89), P=0.44], or return-to-sport rate [RR=1.18, 95%CI(0.93, 1.48), P=0.17].

Conclusion

Single-bundle reconstruction combined with ALS reconstruction of ACL present advantages in terms of knee joint function score, stability and reduction of graft re-rupture rate.

Key words: Anterior cruciate ligament, Arthroscopy, Knee, Meta-analysis
图1 文献筛选流程
Figure 1 Process of including documents
表1 纳入研究基本特征
Table 1 Basic characteristics of included studies
作者(年份) 例数(ACL重建/ACL+ALS重建) 年龄(岁) 随访时间(月) ALL移植物类型 单束ACL重建联合ALS重建适应证 结局指标 证据等级/NOS评分
ACL重建 ACL+ALS重建
Ibrahim[27](2017) 103(50/53) 26 26 27 股薄肌 Ⅱ级以上轴移试验；参加高水平运动；参加扭转相关运动；慢性ACL撕裂；Segond骨折 ②③④⑤⑥⑦ Ⅱ/9
Helito[30](2018) 101(68/33) 33.9 33.1 26 股薄肌 慢性ACL撕裂 ①②④⑦⑨ Ⅲ/7
Helito[31](2019) 90(60/30) 29.9 27.0 29.6 股薄肌 多发韧带松弛 ①②④⑤⑦⑨ Ⅲ/6
Lee[32](2019) 95(43/42) 27.3 26.8 41.5 同种异体股薄肌腱 ACL重建后翻修；至少随访36个月；年龄<45岁 ①②③④⑤⑥⑦⑧⑨ Ⅲ/6
Goncharov[26](2020) 48(30/18) － － 24 半腱肌或股薄肌 每周至少运动3次；参加高水平运动；年龄16~40岁；同侧膝关节无既往手术史 ①②④⑥⑧ Ⅱ/8
Erden[29](2021) 63(33/30) 26.1 27.3 32.7 半腱肌或股薄肌 Ⅱ级以上轴移试验阳性；参加高水平运动；参加扭转相关运动；慢性ACL撕裂；Segond骨折 ①②④⑥⑦⑧⑨ Ⅲ/6
Hamido[24](2021) 102(52/50) 26 24 60 股薄肌 1.Ⅲ级轴移试验阳性；2.Segond骨折；3.参加高水平运动；4.参加扭转相关运动 ②③④⑤⑥⑦⑧⑨ Ⅰ/9
Mogo[25](2021) 55(25/32) 33.8 28.8 12 股薄肌 参加扭转相关运动；Ⅱ级以上轴移试验阳性 ①④⑦⑧⑨ Ⅰ/9
Yoon[33](2021) 39(21/18) 29.6 32.9 24 同种异体肌腱 ACL重建后翻修；Ⅱ级以上轴移试验阳性 ①②③④⑤⑥⑦⑨ Ⅲ/6
Toker[28](2022) 68(37/31) 30.1 28.1 26.7 2号Fiber Tape缝线 多发韧带松弛 ①②④⑤⑥⑦⑨ Ⅱ/6
图2 单束ACL(前交叉韧带)重建联合ALS(前外侧结构)重建与单束ACL重建胫骨前位移森林图
Figure 2 Forest plot of anterior tibial shift in single-bundle reconstruction combined with ALS reconstruction of ACL versus single bundle ACL reconstruction
图3 单束ACL(前交叉韧带)重建联合ALS(前外侧结构)重建与单束ACL重建IKDC(国际膝关节文献委员会)评分森林图
Figure 3 Forest plot of IKDC scores in single-bundle reconstruction combined with ALS reconstruction of ACL versus single bundle ACL reconstruction
图4 缺省Erden[29]研究时单束ACL(前交叉韧带)重建联合ALS(前外侧结构)重建与单束ACL重建IKDC(国际膝关节文献委员会)评分森林图
Figure 4 Forest plot of IKDC scores in single-bundle reconstruction combined with ALS reconstruction of ACL versus single bundle ACL reconstruction at the absence of Erden [29] study
图5 单束ACL(前交叉韧带)重建联合ALS(前外侧结构)重建与单束ACL重建Lysholm评分森林图
Figure 5 Forest plot of Lysholm scores in single-bundle reconstruction combined with ALS reconstruction of ACL versus single bundle ACL reconstruction
图6 单束ACL(前交叉韧带)重建联合ALS(前外侧结构)重建与单束ACL重建Tegner评分森林图
Figure 6 Forest plot of Tegner scores in single-bundle reconstruction combined with ALS reconstruction of ACL versus single bundle ACL reconstruction
图7 缺省Mogo[25]研究时单束ACL(前交叉韧带)重建联合ALS(前外侧结构)重建与单束ACL重建的Tegner评分森林图
Figure 7 Forest plot of Tegner scores in single-bundle reconstruction combined with ALS reconstruction of ACL versus single bundle ACL reconstruction at the absence of Mogo[25] study
图8 单束ACL(前交叉韧带)重建联合ALS(前外侧结构)重建与单束ACL重建的轴移试验阳性率森林图
Figure 8 Forest plot of positive rate of pivot shift test in single-bundle reconstruction combined with ALS reconstruction of ACL versus single bundle ACL reconstruction
图9 单束ACL(前交叉韧带)重建联合ALS(前外侧结构)重建与单束ACL重建的前抽屉试验阳性率森林图
Figure 9 Forest plot of positive rate of anterior drawer test in single-bundle reconstruction combined with ALS reconstruction of ACL versus single bundle ACL reconstruction
图10 单束ACL(前交叉韧带)重建联合ALS(前外侧结构)重建与单束ACL重建的Lachman试验阳性率森林图
Figure 10 Forest plot of positive rate of Lachman test in single-bundle reconstruction combined with ALS reconstruction of ACL versus single bundle ACL reconstruction
图11 单束ACL(前交叉韧带)重建联合ALS(前外侧结构)重建与单束ACL重建的重返运动率森林图
Figure 11 Forest plot of return- to- sport rate in single-bundle reconstruction combined with ALS reconstruction of ACL versus single bundle ACL reconstruction
图12 单束ACL(前交叉韧带)重建联合ALS(前外侧结构)重建与单束ACL重建移植物再撕裂率森林图
Figure 12 Forest plot of graft re-rupture rate in single-bundle reconstruction combined with ALS reconstruction of ACL versus single bundle ACL reconstruction
表2 ACLR+ALSR与ACLR不同ALL移植物类型亚组分析
Table 2 Subgroup analysis of different ALL graft types in ACLR+ALSR and ACLR
移植物类型Graft type IKDC评分 Lysholm评分 Tegner评分 轴移试验 前抽屉试验
研究数目 MD(95%CI) 研究数目 MD(95%CI) 研究数目 MD(95%CI) 研究数目 RR(95%CI) 研究数目 RR(95%CI)
自体肌腱Autologous tendon 5 3.80(1.13, 6.47) 6 2.63(1.62, 3.64) 2 0.47(－0.10, 1.04) 7 0.23(0.10, 0.53) 2 0.52(0.15, 1.90)
异体肌腱或缝线Allogeneic tendons or sutures 3 3.76(1.37, 6.15) 3 2.75(0.50, 4.99) 2 0(－0.54, 0.54) 3 0.21(0.06, 0.68) 1 1.17(0.18, 7.47)
P值   0.98   0.93   0.24   0.88   0.49
移植物类型 Lachman试验 胫骨前位移距离 重返运动率 移植物再撕裂率
研究数目 RR(95%CI) 研究数目 MD(95%CI) 研究数目 RR(95%CI) 研究数目 RR(95%CI)
自体肌腱 4 0.37(0.14, 1.01) 6 －0.55(－0.89, －0.22) 4 1.06(0.94, 1.21) 5 0.07(0.02, 0.29)
异体肌腱或缝线 3 0.43(0.19, 1.00) 3 －0.95(－1.75, －0.14) 1 2.23(1.26, 3.96) 3 0.28(0.05, 1.51)
P值   0.83   0.38   0.01   0.20
图13 单束ACL(前交叉韧带)重建联合ALS(前外侧结构)重建与单束ACL重建的Lachman试验比较漏斗图
Figure 13 Funnel plot of Lachman test for single-bundle reconstruction combined with ALS reconstruction of ACL compared to single bundle ACL reconstruction
[1]
Daggett M, Helito C, Cullen M, et al. The anterolateral ligament: an anatomic study on sex-based differences[J/OL]. Orthop J Sports Med, 2017, 5(2): 2325967116689387. DOI: 10.1177/2325967116689387.
[2]
敖英芳，田得祥，崔国庆，等. 运动员前交叉韧带损伤的流行病学研究[J]. 体育科学，2000, 20(4): 47-48, 88.
[3]
Yu B, Garrett WE. Mechanisms of non-contact ACL injuries[J]. Br J Sports Med, 2007, 41(Suppl 1): i47-i51.
[4]
周天平，徐一宏，徐卫东. 前交叉韧带损伤处理相关国际指南解读及其临床应用[J/CD]. 中华关节外科杂志(电子版), 2021, 15(6): 718-724.
[5]
Chen Y, Chua KH, Singh A, et al. Outcome of single-bundle hamstring anterior cruciate ligament reconstruction using the anteromedial versus the transtibial technique: asystematic review and meta-analysis[J]. Arthroscopy, 2015, 31(9): 1784-1794.
[6]
Ahn JH, Lee YS, Ha HC. Comparison of revision surgery with primary anterior cruciate ligament reconstruction and outcome of revision surgery between different graft materials[J]. Am J Sports Med, 2008, 36(10): 1889-1895.
[7]
Wilde J, Bedi A, Altchek DW. Revision anterior cruciate ligament reconstruction[J]. SportsHealth, 2014, 6(6): 504-518.
[8]
di Benedetto P, di Benedetto E, Fiocchi A, et al. Causes of failure of anterior cruciate ligament reconstruction and revision surgical strategies[J]. Knee Surg Relat Res, 2016, 28(4): 319-324.
[9]
Wolf RS, Lemak LJ. Revision anterior cruciate ligament reconstruction surgery[J]. J South Orthop Assoc, 2002, 11(1): 25-32.
[10]
Sonnery-Cottet B, Thaunat M, Freychet B, et al. Outcome of a combined anterior cruciate ligament and anterolateral ligament reconstruction technique with a minimum 2-year follow-up[J]. Am J Sports Med, 2015, 43(7): 1598-1605.
[11]
Helito CP, Bonadio MB, Gobbi RG, et al. Combined intra- and extra-articular reconstruction of the anterior cruciate ligament: the reconstruction of the knee anterolateral ligament[J/OL]. Arthrosc Tech, 2015, 4(3): e239-e244. DOI: 10.1016/j.eats.2015.02.006.
[12]
Smith JO, Yasen SK, Lord B, et al. Combined anterolateral ligament and anatomic anterior cruciate ligament reconstruction of the knee[J]. Knee Surg Sports Traumatol Arthrosc, 2015, 23(11): 3151-3156.
[13]
Chahla J, Menge TJ, Mitchell JJ, et al. Anterolateral ligament reconstruction technique: an anatomic-based approach[J/OL]. Arthrosc Tech, 2016, 5(3): e453-e457. DOI: 10.1016/j.eats.2016.01.032.
[14]
Ariel de Lima D, Helito CP, Lacerda de Lima L, et al. Anatomy of the anterolateral ligament of the knee: asystematic review[J]. Arthroscopy, 2019, 35(2): 670-681.
[15]
Brockmeyer M, Orth P, Höfer D, et al. The anatomy of the anterolateral structures of the knee-a histologic and macroscopic approach[J]. Knee, 2019, 26(3): 636-646.
[16]
Getgood A, Brown C, Lording T, et al. The anterolateral complex of the knee: results from the International ALC Consensus Group Meeting[J]. Knee Surg Sports Traumatol Arthrosc, 2019, 27(1): 166-176.
[17]
Herbst E, Albers M, Burnham JM, et al. The anterolateral complex of the knee: a pictorial essay[J]. Knee Surg Sports Traumatol Arthrosc, 2017, 25(4): 1009-1014.
[18]
Katakura M, Koga H, Nakamura T, et al. Biomechanical effects of additional anterolateral structure reconstruction with different femoral attachment sites on anterior cruciate ligament reconstruction[J]. Am J Sports Med, 2019, 47(14): 3373-3380.
[19]
Claes S, Vereecke E, Maes M, et al. Anatomy of the anterolateral ligament of the knee[J]. J Anat, 2013, 223(4): 321-328.
[20]
Getgood AMJ, Bryant DM, Litchfield R, et al. Lateral extra-articular tenodesis reduces failure of hamstring tendon autograft anterior cruciate ligament reconstruction: 2-year outcomes from the STABILITY study randomized clinical trial[J]. Am J Sports Med, 2020, 48(2): 285-297.
[21]
Kraeutler MJ, Welton KL, Chahla J, et al. Current concepts of the anterolateral ligament of the knee: anatomy, biomechanics, and reconstruction[J]. Am J Sports Med, 2018, 46(5): 1235-1242.
[22]
Xu J, Han K, Lee TQ, et al. Anterolateral structure reconstruction similarly improves the stability and causes less overconstraint in anterior cruciate ligament-reconstructed knees compared with modified lemaire lateral extra-articular tenodesis: abiomechanical study[J]. Arthroscopy, 2022, 38(3): 911-924.
[23]
Stang A. Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality ofnonrandomized studies in meta-analyses[J]. Eur J Epidemiol, 2010, 25(9): 603-605.
[24]
Hamido F, Habiba AA, Marwan Y, et al. Anterolateral ligament reconstruction improves the clinical and functional outcomes of anterior cruciate ligament reconstruction in athletes[J]. Knee Surg Sports Traumatol Arthrosc, 2021, 29(4): 1173-1180.
[25]
Mogoᶊ Ş, D'Ambrosi R, Antonescu D, et al. Combined anterior cruciate ligament and anterolateral ligament reconstruction results in superior rotational stability compared with isolated anterior cruciate ligament reconstruction in high grade pivoting sport patients: aprospective randomized clinical trial[J]. J Knee Surg, 2023, 36(1): 54-61.
[26]
Goncharov EN, Koval OA, Dubrov VE, et al. Mid-term results of simultaneous reconstruction of anterior cruciate and anterolateral ligaments in athletes[J]. Traumatol Orthop Russ, 2020, 26(1): 62-71.
[27]
Ibrahim SA, Shohdy EM, Marwan Y, et al. Anatomic reconstruction of the anterior cruciate ligament of the knee with or without reconstruction of the anterolateral ligament: arandomized clinical trial[J]. Am J Sports Med, 2017, 45(7): 1558-1566.
[28]
Toker MB, Erden T, Toprak A, et al. Does anterolateral ligament internal bracing improve the outcomes of anterior cruciate ligament reconstruction in patients with generalized joint hypermobility？[J]. TurkJ Trauma Emerg Surg, 2022, 28(3): 320-327.
[29]
Erden T, Toker B, Toprak A, et al. Comparison of the outcomes of isolated anterior cruciate ligament reconstruction and combined anterolateral ligament suture tape augmentation and anterior cruciate ligament reconstruction[J]. Jt Dis Relat Surg, 2021, 32(1): 129-136.
[30]
Helito CP, Camargo DB, Sobrado MF, et al. Combined reconstruction of the anterolateral ligament in chronic ACL injuries leads to better clinical outcomes than isolated ACL reconstruction[J]. Knee Surg Sports Traumatol Arthrosc, 2018, 26(12): 3652-3659.
[31]
Helito CP, Sobrado MF, Giglio PN, et al. Combined reconstruction of the anterolateral ligament in patients with anterior cruciate ligament injury and ligamentous hyperlaxity leads to better clinical stability and a lower failure rate than isolated anterior cruciate ligament reconstruction[J]. Arthroscopy, 2019, 35(9): 2648-2654.
[32]
Lee DW, Kim JG, Cho SI, et al. Clinical outcomes of isolated revision anterior cruciate ligament reconstruction or in combination with anatomic anterolateral ligament reconstruction[J]. Am J Sports Med, 2019, 47(2): 324-333.
[33]
Yoon KH, Hwang IU, Kim EJ, et al. Anterolateral ligament reconstruction improves anteroposterior stability As well As rotational stability in revision anterior cruciate ligament reconstruction with high-grade pivot shift[J]. J Knee Surg, 2021, 34(12): 1310-1317.
[34]
Ariel de Lima D, de Lima LL, de Souza NGR, et al. Clinical outcomes of combined anterior cruciate ligament and anterolateral ligament reconstruction: a systematic review and meta-analysis[J/OL]. Knee Surg Relat Res, 2021, 33(1): 33. DOI: 10.1186/s43019-021-00115-1.
[35]
Ahn JH, Lee SH. Risk factors for knee instability after anterior cruciate ligament reconstruction[J]. Knee Surg Sports Traumatol Arthrosc, 2016, 24(9): 2936-2942.
[36]
Nakamura T, Marshall BD, Price TM, et al. Arthroscopic centralization for lateral meniscal injuries reduces laxity in the anterior cruciate ligament-reconstructed knee[J]. Am J Sports Med, 2021, 49(13): 3528-3533.
[37]
Ferretti A, Monaco E, Fabbri M, et al. Prevalence and classification of injuries of anterolateral complex in acute anterior cruciate ligament tears[J]. Arthroscopy, 2017, 33(1): 147-154.
[38]
Helito CP, Demange MK, Helito PV, et al. Evaluation of the anterolateral ligament of the knee by means of magnetic resonance examination[J]. Rev Bras Ortop, 2015, 50(2): 214-219.
[39]
Lutz C, Sonnery-Cottet B, Niglis L, et al. Behavior of the anterolateral structures of the knee during internal rotation[J]. Orthop Traumatol Surg Res, 2015, 101(5): 523-528.
[40]
Song GY, Zhang H, Wu G, et al. Patients with high-grade pivot-shift phenomenon are associated with higher prevalence of anterolateral ligament injury after acute anterior cruciate ligament injuries[J]. Knee Surg Sports Traumatol Arthrosc, 2017, 25(4): 1111-1116.
[41]
狄亚龙，任逸众，韩长旭. 前外侧韧带的认识进展[J/CD]. 中华关节外科杂志(电子版), 2017, 11(2): 185-188.
[42]
Helito CP, Demange MK, Bonadio MB, et al. Anatomy and histology of the knee anterolateral ligament[J/OL]. Orthop J Sports Med, 2013, 1(7): 2325967113513546. DOI: 10.1177/2325967113513546.
[43]
Helito CP, Demange MK, Bonadio MB, et al. Radiographic landmarks for locating the femoral origin and tibial insertion of the knee anterolateral ligament[J]. Am J Sports Med, 2014, 42(10): 2356-2362.
[44]
Helito CP, Helito PV, Bonadio MB, et al. Correlation of magnetic resonance imaging with knee anterolateral ligament anatomy: acadaveric study[J/OL]. Orthop J Sports Med, 2015, 3(12): 2325967115621024. DOI: 10.1177/2325967115621024.
[45]
Helito CP, Miyahara HS, Bonadio MB, et al. Anatomical study on the anterolateral ligament of the knee[J]. Rev Bras Ortop, 2013, 48(4): 368-373.
[46]
Farhan PHS, Sudhakaran R, Thilak J. Solving the mystery of the antero lateral ligament[J]. J Clin Diagn Res, 2017, 11(3): AC01-AC04.
[47]
Helito CP, do Prado Torres JA, Bonadio MB, et al. Anterolateral ligament of the fetal knee: an anatomic and histological study[J]. Am J Sports Med, 2017, 45(1): 91-96.
[48]
Neri T, Palpacuer F, Testa R, et al. The anterolateral ligament: Anatomic implications for its reconstruction[J]. Knee, 2017, 24(5): 1083-1089.
[49]
Claes S, Luyckx T, Vereecke E, et al. The Segond fracture: a bony injury of the anterolateral ligament of the knee[J]. Arthroscopy, 2014, 30(11): 1475-1482.
[50]
Spencer L, Burkhart TA, Tran MN, et al. Biomechanical analysis of simulated clinical testing and reconstruction of the anterolateral ligament of the knee[J]. Am J Sports Med, 2015, 43(9): 2189-2197.
[51]
Xu J, Ye Z, Han K, et al. Anterolateral structure reconstructions with different tibial attachment sites similarly improve tibiofemoral kinematics and result in different graft force in treating knee anterolateral instability[J]. Arthroscopy, 2022, 38(9): 2684-2696.
[52]
Kittl C, El-Daou H, Athwal KK, et al. The role of the anterolateral structures and the ACL in controlling laxity of the intact and ACL-deficient knee[J]. Am J Sports Med, 2016, 44(2): 345-354.
[53]
Pomajzl R, Maerz T, Shams C, et al. A review of the anterolateral ligament of the knee: current knowledge regarding its incidence, anatomy, biomechanics, and surgical dissection[J]. Arthroscopy, 2015, 31(3): 583-591.
[54]
van der Watt L, Khan M, Rothrauff BB, et al. The structure and function of the anterolateral ligament of the knee: a systematic review[J]. Arthroscopy, 2015, 31(3): 569-582.e3.
[55]
Chen J, Xu C, Cho E, et al. Reconstruction for chronic ACL tears with or without anterolateral structure augmentation in patients at high risk for clinical failure: arandomized clinical trial[J]. J Bone Joint Surg Am, 2021, 103(16): 1482-1490.
[56]
Ariel de Lima D, Helito CP, Lima FRA, et al. Surgical indications for anterior cruciate ligament reconstruction combined with extra-articular lateral tenodesis or anterolateral ligament reconstruction[J]. Rev Bras Ortop, 2018, 53(6): 661-667.
[57]
Kunze KN, Manzi J, Richardson M, et al. Combined anterolateral and anterior cruciate ligament reconstruction improves pivot shift compared with isolated anterior cruciate ligament reconstruction: asystematic review and meta-analysis of randomized controlled trials[J]. Arthroscopy, 2021, 37(8): 2677-2703.
[58]
Sonnery-Cottet B, Daggett M, Fayard JM, et al. Anterolateral Ligament Expert Group consensus paper on the management of internal rotation and instability of the anterior cruciate ligament - deficient knee[J]. J Orthop Traumatol, 2017, 18(2): 91-106.
[59]
徐才祺，陈杰波，宋关阳. 膝关节前外侧结构加强及重建专家共识(2021年版)[J/CD]. 中华关节外科杂志(电子版), 2021, 15(2): 131-136.
[60]
Trinchese GF, Oliva F, Maffulli N. Minimally invasive anatomic reconstruction of the anterolateral ligament with ipsilateral gracilis tendon[J]. Muscles Ligaments Tendons J, 2017, 7(2): 240-246.
[61]
Wagih AM, Elguindy AMF. Percutaneous reconstruction of the anterolateral ligament of the knee with a polyester tape[J/OL]. Arthrosc Tech, 2016, 5(4): e691-e697. DOI: 10.1016/j.eats.2016.02.028.
[62]
Zein AMN, Elshafie M, Elsaid ANS, et al. Combined anatomic anterior cruciate ligament and double bundle anterolateral ligament reconstruction[J/OL]. Arthrosc Tech, 2017, 6(4): e1229-e1238. DOI: 10.1016/j.eats.2017.04.009.
[63]
Ferreira MDEC, Zidan FF, Miduati FB, et al. Reconstruction of anterior cruciate ligament and anterolateral ligament using interlinked hamstrings - technical note[J]. Rev Bras Ortop, 2016, 51(4): 466-470.
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