2021 AOSSM-AANA Combined Annual Meeting Recordings-Current Indications for Adding a LET to Your ACL (talk with video)

Current Indications for Adding a LET to Your ACL (talk with video)

Video Transcription

Video Summary

In this video, the speaker discusses the use of lateral extra-articular tenodesis (LET) as an addition to ACL reconstruction surgery. They mention various factors that increase the risk of ACL graft failure, such as age, knee laxity, ligamentous laxity, meniscus injury, and bony morphology. The speaker highlights the importance of understanding associated patholaxities, including posterolateral corner and anteromedial rotatory laxity. They present a randomized clinical trial called Stability One, which showed that LET reduced rotational laxity and graft failure without increasing complication rates. The speaker also touches on graft choice, indicating that patella tendon and lateral tenodesis offer more protection than hamstring tendon alone. They conclude by discussing the potential benefits of LET in revision ACL surgeries and in specific primary ACL cases. The video was presented by a speaker whose name is not mentioned.

Asset Caption

Alan Getgood, MD, FRCS (Tr&Orth)

Keywords

lateral extra-articular tenodesis

ACL graft failure

patholaxities

Stability One

graft choice