Optimizing ACL Reconstruction in 2022: A Case-Based Approach (AANA22)-Optimizing ACL Reconstruction: BTB/Hamstring are the Gold Standard

Optimizing ACL Reconstruction: BTB/Hamstring are the Gold Standard

Video Transcription

Video Summary

The video discusses the optimization of ACL reconstruction, specifically focusing on different graft choices such as bone-patellar tendon-bone (BTB), hamstring, and quadriceps. The speaker mentions that ACL tears have become more common, especially among female athletes who have a higher risk compared to men. When considering graft choices, BTB autografts have a high load to failure and faster graft incorporation, while hamstring autografts have a quadruple strength of native ACL and lower risks of pain and osteoarthritis. Studies show that revision rates are lower for BTB grafts, but there is only a slight increased risk of graft failure with hamstring grafts. Overall, patellar tendon is considered the gold standard. The speaker concludes by stating that it is up to others to discuss the potential benefits of using quadriceps grafts.

Asset Caption

Cassandra A. Lee, M.D.

Keywords

ACL reconstruction

graft choices

bone-patellar tendon-bone

hamstring

quadriceps