Considerations and Challenges in Revision ACL Reconstruction (2024 Annual Meeting)-Considerations and Challenges in Revision ACL Reconstruction

Video Transcription

Video Summary

The video discusses the intricacies of revision ACL reconstruction, focusing on challenges, factors influencing success, and risk factors for failure. Experts emphasize the importance of thorough evaluation, including history, imaging, and examination, in optimizing outcomes. The role of lateral extra-articular tenodesis (LET) in reducing pivot shift and graft failure rates is explored, along with potential complications and considerations. Surgeons also delve into a complex case requiring revision ACL reconstruction, debating between single-stage and two-stage approaches, emphasizing preoperative planning, patient counseling, and addressing contributing factors to initial ACL failure. The importance of personalized treatment based on individual factors and activity levels, as well as the complexities involved in revision ACL surgeries, are underscored. Overall, the discussions provide valuable insights for surgeons to improve patient outcomes in revision ACL reconstructions.

Asset Caption

Aman Dhawan, M.D., Moderator | Brian R. Waterman, M.D., FAANA | Jonathan F. Dickens, M.D., COL, USAR | Michael Alaia, M.D. | Seth L. Sherman, M.D.

Keywords

revision ACL reconstruction

challenges

factors influencing success

risk factors for failure

thorough evaluation

history

imaging

examination

lateral extra-articular tenodesis

pivot shift

graft failure rates

complications