APEX Optimizing Surgical Outcomes for Knee & Shoulder Arthroscopy-Optimizing ACLR: Notchplasty, Tunnel Placement, Graft Passage

Video Transcription

Video Summary

In his talk, Cesario Trueva addresses optimizing anterior cruciate ligament (ACL) reconstruction, focusing on factors impacting success rates. Despite intact ACL being visible post-surgery, patients may still feel instability due to graft positioning. Trueva discusses various graft options like quadriceps, patellar tendon, bone-tendon-bone, and hamstring, noting that while graft choice influences outcomes, it is not the sole determinant. He explores fixation methods, such as suspension techniques with adjustable buttons and screws, highlighting their potential for failure. Another method discussed is extra-articular tenodesis, which still showed notable failure rates. The talk emphasizes the critical impact of femoral tunnel positioning on reconstruction success. Trueva details the anatomical intricacies for accurate placement, underscoring the minor shifts in tunnel positioning can significantly influence outcomes. He concludes that understanding and following anatomical references precisely is crucial, likening ACL surgery to a "game of millimeters" for optimal results.

Asset Caption

Faculty: Cesareo T. Vasavilbaso, M.D.

Keywords

ACL reconstruction

graft options

femoral tunnel positioning

suspension techniques

extra-articular tenodesis