Description
In this presentation, Bertrand Cottet-Sonnery discusses the clinical outcomes of combined ACL (anterior cruciate ligament) and ALL (anterolateral ligament) reconstruction. He expresses his gratitude for the opportunity to speak and introduces the topic with a commentary highlighting the shift in focus towards not only considering if augmentation is necessary but also addressing the methods of augmentation to enhance surgical outcomes. Cottet-Sonnery reviews the complex nature of ACL injuries that often accompany additional concomitant lesions, notably the importance of addressing injuries to both the anterolateral and posteromedial aspects of the knee.
He references findings from significant studies demonstrating the prevalence of anterolateral injuries in ACL ruptures and the need for comprehensive surgical approaches that incorporate these insights. The talk emphasizes a shift away from isolated ACL reconstruction due to its unsatisfactory rupture and reoperation rates, advocating for the addition of ALL reconstruction as it has been shown to decrease graft rupture rates significantly and enhance overall knee stability.
With compelling data from recent studies, Cottet-Sonnery argues for an expanded indication for ALL reconstruction, particularly in high-risk populations, presenting evidence that supports improved functional outcomes and lower complications when all reconstruction techniques are utilized. He concludes with a discussion on the biomechanical implications of ACL surgeries, accentuating the necessity of evolving methodological approaches in sports medicine to achieve better surgical results and enhance patient satisfaction.