APEX Optimizing Surgical Outcomes for Knee & Shoulder Arthroscopy-LET vs. ALL: Technical Pearls

Video Transcription

Video Summary

Dr. Cruz Ignacio Cardona discusses surgical procedures related to anterior cruciate ligament (ACL) reconstruction, focusing on lateral tenodesis and anterolateral ligament reconstruction to address instability and reduce graft failure. While ACL reconstruction is successful 75-97% of the time, a 10-15% failure rate persists, and some patients fail to regain pre-injury levels. Factors affecting outcomes include untreated secondary instabilities and patient characteristics, particularly in those under 25. Various surgical techniques have evolved since the 1970s to enhance rotational stability, especially for high-demand athletes. Both lateral tenodesis and anterolateral ligament reconstruction demonstrate similar effectiveness in reducing failure rates and improving knee stability, with the choice influenced by patient needs and surgeon expertise. Dr. Cardona highlights the significance of careful patient selection and the role of surgeon experience in optimizing outcomes.

Asset Caption

Faculty: Jesus Ignacio Cardona-Medina, M.D.

Keywords

ACL reconstruction

lateral tenodesis

anterolateral ligament

knee stability

surgical techniques