Optimizing Outcomes Following ACL Reconstruction (AANA25)-Optimizing Outcomes Following ACL Reconstruction in 2025: A Case-Based Approach

Video Transcription

Video Summary

The video transcript covers a panel discussion focused on optimizing ACL reconstruction through different approaches and techniques. The session involves several experts from various institutions sharing their insights on modern ACL reconstruction methods. Dr. Cassandra Lee emphasizes that BPTB (bone-patellar tendon-bone) remains the gold standard for ACL reconstructions, citing its reliable bone healing and long-term outcomes, albeit with potential anterior knee pain. Dr. Mary Kate Grossman champions the quad autograft, highlighting its robustness, lesser anterior knee pain, and its reliable outcomes in both primary and revision reconstructions. Dr. Clay Nully elaborates on augmentations like lateral extra-articular tenodesis (LET) and internal suture augmentation, pointing out their effectiveness in lowering rupture rates and enhancing stability, particularly in young, high-risk athletes. He also discusses biomechanical and clinical evidence supporting these augmentations, stating that they are vital for high-risk and revision cases. Dr. Harris Sloan discusses considerations for revision ACL reconstructions, emphasizing the importance of choosing suitable grafts (favoring autografts) and considering augmentations for enhancing stability. He also touches on postoperative protocols, including the potential benefits and shortcomings of functional bracing. The panel offers practical insights into surgical techniques, factors influencing graft choices, and the potential benefits of augmentations, emphasizing a tailored approach based on individual patient risks and profiles.

Asset Caption

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

Keywords

ACL reconstruction

BPTB

quad autograft

lateral extra-articular tenodesis

internal suture augmentation

revision ACL

graft choices

functional bracing

surgical techniques

patient risks

biomechanical evidence