2024 AANA/ISAKOS Specialty Day All-Access Pass-Case Panel Discussion: Revision ACL: What's the Best Option?

Video Transcription

Video Summary

In this video transcript, a panel of experts discusses revision ACL reconstruction. The panel begins by introducing themselves and expressing their gratitude for being invited to discuss this topic. They then present a case study of a 20-year-old male professional football player who underwent ACL reconstruction but still experienced knee instability during pivoting exercises. The panel discusses the importance of measuring laxity and rotational instability in ACL patients and how stress MRI and other measurements can help in evaluating the risk factors for revision surgery. They also discuss the role of bone morphology evaluation in deciding whether to perform lateral tenodesis or ALL reconstruction. The panel emphasizes the need for accurate measurements and evaluation in order to make informed surgical decisions. They also discuss graft choices for revision surgery and the importance of correcting other knee alignment issues such as valgus alignment and posterior tibial slope.

Asset Caption

"Aaron J. Krych, M.D., FAANA, João Duarte Espregueira-Mendes, Ph.D., Pieter D‘Hooghe, M.D. Xinning Li, M.D., Robert G. Marx, M.D., Ashley Bassett, M.D., Kelechi R. Okoroha, M.D.

Keywords

ACL reconstruction

revision surgery

knee instability

stress MRI

lateral tenodesis

graft choices