AANA19 Knee Access Pass-Master Series_ ALL Reconstruction - Eliminate the Pivot Shift-Dr. Patrick A. Smith, M.D.

Master Series_ ALL Reconstruction - Eliminate the Pivot Shift-Dr. Patrick A. Smith, M.D.

Video Transcription

Video Summary

Dr. Kelly discusses his approach to anterolateral ligament (ALL) reconstruction combined with deep iliotibial (IT) band fibers to enhance knee stability post-ACL surgery. Emphasizing anatomy and biomechanics, he highlights the ALL’s role and the critical support from deep IT band capsuloligamentous fibers in controlling pivot shift and rotational laxity. His minimally invasive technique uses allografts anchored near the lateral gastrocnemius tubercle, protecting the lateral collateral ligament and restoring function. Indications include hyperextension, laxity, and revisions. Outcomes show improved stability and reduced hyperextension in select patients, suggesting ALL reconstruction alongside ACL repair benefits high-risk knees.

Keywords

anterolateral ligament reconstruction

deep iliotibial band fibers

knee stability

ACL surgery

minimally invasive technique