AANA19 Knee Access Pass-Is Intraoperative Fluoroscopy Necessary to Confirm Device Position for Femoral Sided Cortical Suspensory Fixation during Anterior Cruciate Ligament Reconstruction?-Dr. Clayton William Nuelle, M.D.

Is Intraoperative Fluoroscopy Necessary to Confirm Device Position for Femoral Sided Cortical Suspensory Fixation during Anterior Cruciate Ligament Reconstruction?-Dr. Clayton William Nuelle, M.D.

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Video Transcription

Video Summary

The video discusses the use of femoral cortical suspensory fixation in ACL reconstruction surgery and the potential benefits of using intraoperative fluoroscopy to confirm device position. The traditional technique using patellar tendon and interference screw fixation has complications such as donor site morbidity and post-operative anterior knee pain. All-inside techniques have been developed as a less invasive alternative to address these complications. A study comparing adjustable loop cortical buttons and metallic interference screws showed similar load to failure and stiffness. Another study evaluated the benefit of intraoperative fluoroscopy in confirming device position on the femur using the suspensory fixation technique. The results showed a significant difference in optimal device location in patients who had intraoperative fluoroscopy. The conclusion suggests that confirmatory intraoperative imaging may be beneficial in ensuring appropriate device placement in ACL reconstruction. There are limitations to the study, including its retrospective nature and unequal patient numbers in the different groups. No credits were mentioned in the video transcript.

Asset Caption

Concurrent Scientific Session IV: Paper Presentations - Knee 5.3.2019

Meta Tag

Concept ACL Reconstruction

Concept All-Inside Technique

Concept Femoral Cortical Suspensory Fixation

Concept Femoral Cortical Button

Concept Intraoperative Fluoroscopy

Keywords

femoral cortical suspensory fixation

ACL reconstruction surgery

intraoperative fluoroscopy

complications

all-inside techniques

ACL Reconstruction

All-Inside Technique

Femoral Cortical Suspensory Fixation

Femoral Cortical Button

Intraoperative Fluoroscopy