AANA19 Knee Access Pass-Master Series: ALL Reconstruction - Eliminate the Pivot Shift-Dr. Patrick A. Smith, M.D.

Master Series: ALL Reconstruction - Eliminate the Pivot Shift-Dr. Patrick A. Smith, M.D.

Video Transcription

Video Summary

In the video, the speaker discusses their approach to anterolateral ligament (ALO) reconstruction. They emphasize the importance of the deep IT band and capsulosteous fibers in addition to the ALO. The ALO is described as a capsular ligament that tightens in internal rotation. The speaker highlights the importance of recreating the path of the ALO and the deep IT band fibers during reconstruction. They also mention a study that found the deep IT band to be more important than the ALO for the pivot shift in a biomechanical study. The speaker demonstrates their technique for ALO reconstruction using an allograft and fixation on the femoral and tibia sides. They suggest that the procedure can be beneficial for patients with hyperextension, excessive laxity, and rotational injuries. They conclude by noting a decrease in hyperextension and a low failure rate in their cases.

Asset Caption

General Scientific Session: Knee and Ligament 5.2.2019

Keywords

anterolateral ligament reconstruction

deep IT band

capsulosteous fibers

ALO path recreation

ALO reconstruction technique