2023 AOSSM Annual Meeting Recordings with CME-Both Hamstring Autograft Combined with Lateral Extra-Articular Tenodesis and Quadriceps Autograft Lead to Lower Graft Re-Tear Rates and Pivot Shift After ACL Reconstruction Compared to Hamstring Autograft Alone

Both Hamstring Autograft Combined with Lateral Extra-Articular Tenodesis and Quadriceps Autograft Lead to Lower Graft Re-Tear Rates and Pivot Shift After ACL Reconstruction Compared to Hamstring Autograft Alone

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Video Transcription

Video Summary

The video discusses the current status of ACL tear management in 2023. The re-tear rate for ACL injuries is around 4.5% overall, but higher among high-risk patients like females aged 15-20 years old. The return to sport rate is 81% overall but drops to 65-70% at pre-injury levels. 25-40% of patients have rotational instability post ACL reconstruction surgery. The use of anterolateral complex reconstruction and extra articular tenodesis reduces graft failure rates. The quadriceps autograft is gaining popularity and has similar outcomes to hamstring autograft with extra articular tenodesis. Further research is needed to validate these findings. The quad autograft reduces residual pivot shift and allows for quicker return to play. Complication rates are similar across graft options.

Asset Caption

Kostas Economopoulos, MD

Keywords

ACL tear management

re-tear rate

return to sport rate

graft failure rates

quadriceps autograft