The anterolateral ligament is a ligament of the knee that plays a role in rotational stability. It has been described as far back as 1879 when Dr. Paul Segond first noted a “pearly, resistant fibrous band” originating at the lateral epicondyle of the femur and continuing to the tibia. Recent studies have confirmed the existence and location of the ALL.
Anterolateral reconstruction can be beneficial in high grade pivot shift patients or when there continues to be a positive pivot shift even after ACL reconstruction. ALL reconstruction may also benefit patients with Segond factors, or in ACL revision cases.
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