2024 AANA/ISAKOS Specialty Day All-Access Pass-Debate Introduction: 30-Year-Old Female With 15 Degree Hyperextension With an ACL Tear With Medial Meniscus Peripheral Longitudinal 10 mm Tear. What Graft Would I Use?

Debate Introduction: 30-Year-Old Female With 15 Degree Hyperextension With an ACL Tear With Medial Meniscus Peripheral Longitudinal 10 mm Tear. What Graft Would I Use?

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Video Transcription

All right, so we're going to now have the next debate, and if we can have that slide, and we'll invite up Dr. Cassandra Lee and Dr. Sachin Tripathi.  First slide.  Okay, so we're gonna talk about ACL reconstruction and knee hyperextension. So the high Baton score, generalized knee laxity case.  Again, Dr. Lee from UC Davis and Dr. Tripathi from India. So all ACL deficient knees are not the same. Here you can see the recervotum.  You can see the generalized ligamentous laxity, maybe a Baton 9.  The case is a 30-year-old female, BMI 24. She fell while hiking five weeks ago. She's unable to walk on the injured knee. She had initial physical therapy and bracing,  and now she comes in with reports of instability. She cannot play recreational sports. She wants to try to play doubles tennis, and these are her radiographs to your right.  Here you can see minus 10 hyperextension to 140, Lachman G2, Pivot G2, stable, collaterally. MRI shows this ACL tear and a vertical medial meniscus tear.  Dr. Lee.

Video Summary

In the upcoming debate, Dr. Lee and Dr. Tripathi will discuss ACL reconstruction and knee hyperextension in a case of generalized knee laxity. They present a case of a 30-year-old female with a recent knee injury while hiking, experiencing instability and inability to participate in sports. The patient has a Baton score of 9 and exhibits ligamentous laxity. Radiographs show findings of ACL tear and medial meniscus tear. The debate will address the variability among ACL deficient knees and the challenges in managing such cases. The patient's desire to return to playing tennis and the specific diagnostic findings will guide the discussion.

Asset Caption

Nicholas A. Sgaglione, M.D.

Keywords

ACL reconstruction

knee hyperextension

generalized knee laxity

ligamentous laxity

ACL tear