Scope Essentials 2024-When do I consider a primary ACL repair, and how do I do it?

When do I consider a primary ACL repair, and how do I do it?

Video Transcription

Video Summary

Dr. Ashley Bassett discusses the history and evolution of ACL surgery, highlighting the shift from open repair to reconstruction in the 1970s due to poor outcomes. However, recent advancements in ACL repair techniques have shown improved outcomes. Dr. Bassett explains that ACL repair preserves the native ligament attachment sites, multi-bundle morphology, and proprioceptive function, while also reducing donor site morbidity and requiring smaller incisions. The use of a collagen implant and internal brace have addressed previous concerns with ACL repair. Data from level one studies demonstrate that ACL repair is not inferior to traditional reconstruction with autograft. Dr. Bassett also discusses the criteria for considering ACL repair and provides a surgical technique overview. Postoperative rehabilitation includes limited range of motion, partial weight bearing, and blood flow restriction therapy.

Asset Caption

Ashley Bassett, M.D.

Keywords

ACL surgery

evolution

reconstruction

advancements

surgical technique