Optimizing ACL Reconstruction in 2022: A Case-Based Approach (AANA22)-ACL Reconstruction Augmentation

Video Transcription

Video Summary

In this video, the speaker discusses hot topics in ACL reconstruction, specifically quad tendon and augmentation procedures. The speaker presents a case study of a 27-year-old female patient who has had three failed ACL surgeries and presents with lateral recurvatum, hyperextension, high Beighton score, and explosive pivot shift. The speaker discusses the importance of addressing the lateral side of the knee in such cases and presents different surgical techniques, including lateral extraticular tenodesis and anterolateral ligament (ALL) reconstruction. The speaker also discusses the biomechanics and outcomes of these procedures. Additionally, the speaker touches on the use of internal suture tape augmentation, highlighting its biomechanical evidence and ongoing clinical studies. The speaker concludes by discussing indications and contraindications for lateral augmentation procedures, as well as considerations for return to sport. The speaker also mentions the use of quad autograft for ACL reconstruction and the potential use of reusing the quad tendon for revision procedures. No credits were given in the video.

Asset Caption

Clayton W. Nuelle, M.D.

Keywords

ACL reconstruction

quad tendon

augmentation procedures

lateral recurvatum

biomechanics

surgical techniques

clinical studies

return to sport