2023 AOSSM Annual Meeting Recordings with CME-Case Discussion: ACL Repair vs. ACL Reconstruction

Case Discussion: ACL Repair vs. ACL Reconstruction - Indications and Controversies

Video Transcription

Video Summary

In this video, a panel of experts discusses the topic of ACL repair versus reconstruction. They begin by mentioning the focus on good to excellent tissue quality and proximal tears in the early literature on primary reconstruction. However, they note that systematic reviews have shown no significant difference in outcomes between repair and reconstruction, which is promising for the potential of repair. The panel discusses the use of scaffolds and bare constructs in ACL repair, emphasizing the importance of having a backup plan in case repair is not possible. The panel members share their thoughts on different types of tears and how they factor in decision-making, as well as the importance of tissue quality and reducibility during surgery. They also discuss the role of remnant sparing and the potential benefits of preserving native tissue in ACL surgery. The panel concludes by highlighting the importance of assessing outcomes, including functional measures and MRI evaluations, and considering the long-term goal of mitigating osteoarthritis. Overall, the panel provides insights on the current understanding and considerations in the debate between ACL repair and reconstruction. (Transcript sourced from YouTube video titled "ACL Repair: What We Know in 2023" by Dr. Scott Dye)

Asset Caption

Asheesh Bedi, MD

Keywords

ACL repair

ACL reconstruction

tissue quality

proximal tears

scaffolds

bare constructs