A New Reconstructive Technique of the Anterolateral Ligament with Iliotibial Band-Strip

Bart Stuyts1, *, Elke Van den Eeden1, Jan Victor2
1 Sint Augustinus Hospital, Oosterveldlaan 24, 2610 Wilrijk, Belgium
2 University Hospital Gent, Ghent, Belgium

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© 2017 Stuyts et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Sint Augustinus Hospital, Oosterveldlaan 24, 2610 Wilrijk, Belgium, Tel: +32 3 443 48 11, Fax: +32 443 31 28, Email:



Anterior cruciate ligament (ACL) reconstruction is a well-established surgical procedure for the correction of ACL ruptures. However, the incidence of instability following ACL reconstruction is substantial. Recent studies have led to greater insight into the anatomy and the radiographic characteristics of the native anterolateral ligament (ALL), along with its possible role in residual instability after ACL reconstruction.


The current paper describes a lateral extra-articular tenodesis to reconstruct the ALL during ACL procedures, using a short iliotibial band strip. The distal insertion of this strip is left intact on the anterolateral side of the proximal tibia, and the proximal part is fixed at the anatomic femoral insertion of the ALL.


Our technique avoids the sacrifice of one of the hamstring tendons for the ALL reconstruction. Additionally, there is no interference with the anatomical location or function of the LCL.


Our technique offers a minimally invasive and nearly complete anatomical reconstruction of the ALL with minimal additional operative time.

Keywords: Anterior cruciate ligament, Anterolateral ligament, Iliotibial band, Internal rotation, Extra-articular tenodesis, Intra-articular reconstruction.