Optimizing ACL Reconstruction in 2024: A Case-Based Approach (2024 Annual Meeting)-Optimizing ACL Reconstruction in 2024: A Case-Based Approach

Video Transcription

Video Summary

A panel of experts discussed ACL reconstruction cases and augmentations in a video. Dr. Lee praised BTB for ACL reconstruction, Dr. Sloan emphasized quad autograft, and Dr. Nolley shared a case of a volleyball player's revision ACL reconstruction. The experts explored graft selection factors, quad autograft pros and cons, harvesting techniques, vascular anatomy, and biomechanical studies comparing graft options like quad, hamstring, and BTB. They discussed lateral augmentation procedures, internal suture augmentation benefits for graft strength, and reducing re-tear rates, calling for more clinical studies on augmentation techniques. Concerns were raised about knee over-constraining with certain techniques, lacking long-term data on outcomes, and variations in surgeons' preferred approaches based on patient characteristics. The importance of a well-done ACL reconstruction was stressed, with additional techniques seen as supplements. Rehabilitation protocols were not significantly altered with internal brace or augmentation techniques.

Asset Caption

Mary K. Mulcahey, M.D., FAANA, Moderator | Cassandra A. Lee, M.D. | Clayton W. Nuelle, M.D., FAANA | Harris S. Slone, M.D., FAANA

Keywords

ACL reconstruction

augmentations

BTB

quad autograft

graft selection factors

harvesting techniques

vascular anatomy

biomechanical studies

lateral augmentation procedures

internal suture augmentation

re-tear rates