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Repair of the Anterolateral Structures in the Acutely Injured ACL

Repair of the acutely injured anterolateral complex is a surgical procedure justified by biomechanical studies, surgical findings and clinical results.In a lack of specific radiological protocols able to reliably detect such injuries, indications are still related to the degree of pivot test, as evaluated preoperatively under anesthesia (explosive pivot shift).Repair techniques, to be always performed along with an ACL reconstruction, are simple procedures strictly related to type of injury. In type I and II tears, when a clear stretching is encountered (limited to the anterolateral capsule and ligament or extended towards the posterolateral capsule) repair consists of retensioning the capsule by means of plicating it with simple stitches.

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Tags: medical, MEDICINE, orthopedics
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