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Do We Need Extra-Articular Reconstructive Surgery?
Eivind Inderhaug1, Andy Williams2
1Surgical Clinic, Haraldsplass Deaconess Hospital, Ulriksdal 8c, Bergen 5009, Norway; Imperial College London, Exhibiton Road, London SW7 2AZ, UK.
Clinics in Sports Medicine
|November 28, 2017
Summary
Extra-articular anterolateral procedures are gaining popularity for knee injuries. However, insufficient clinical data and guidance exist to determine their long-term effectiveness and optimal use.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Anatomy
Background:
- Growing interest in the lateral soft tissue envelope anatomy.
- Increasing popularity of extra-articular anterolateral procedures in knee surgery.
Purpose of the Study:
- To review the current literature on extra-articular anterolateral procedures.
- To provide reflections on the decision-making process for their use.
Main Methods:
- Literature review of existing studies.
- Author reflections based on current knowledge and practice.
Main Results:
- Laboratory evidence suggests potential benefits of these procedures.
- Clinical data are currently insufficient to assess long-term outcomes.
- Lack of established clinical tests or investigations for guiding procedural decisions.
Conclusions:
- Further clinical research is needed to validate the efficacy and long-term impact of extra-articular anterolateral procedures.
- Development of clinical guidelines is necessary to aid surgeons in patient selection and procedural timing.
