I'm the current president of LAR, Latin American Society of Joint Reconstruction, Arthroscopy and Sport Medicine, and here is the vice president, David Torres from Peru. Our society was founded in 1997. We have more than 5,000 members. We involve 22 countries and 27 scientific societies, and they have a big history of traveling fellows, 20 years of history. It's very important in our society. This is LAR in the world. And next year, in March, we will have a big international meeting combined with the Argentine Arthroscopy Association in Buenos Aires. We have many societies involved in sport medicine, of course. The first speaker is Salomon Zurita about BTB, but he can't come here because he has a problem with his passport. Then I check his talk about ACL in soccer players with BTB graph. In 2009, we performed a big paper about ACL reconstruction in Boca Juniors Players Club. This is a soccer player in Buenos Aires in the first division, and we check 10 years of ACL reconstruction and minimum of follow-up is 55 months. And we saw that the failures in the hamstring tendon is very high, as you can see, and BTB is only 5.88. And in that moment, we changed our graph and actually we only performed BTB, of course, if have some conditional law. In this paper of 2013 of Norway, say that patient with hamstring tendon graph have more than twice the risk of revision in terms of graph compared with those having BTB graph. And this from the Danish registry of knee ligament reconstruction. He performed 13,000 ACL reconstruction, said that hamstring tendon graph were associated with a substantially increased risk of early revision at one year of follow-up. This paper is about football, American football, not soccer, but the majority of the assertion, 86%, prefer BTB for young football player, of course, autograph in 1999. And these new papers, 2015, for the same authors of Norway, he will take 14,000 ACL reconstruction and he said that in the ACL revision at two years, BTB have only 0.7 and hamstring tendon 1.5 to 5.5, a big difference. This paper of the Journal of Isaacus, 2021, the author of the many part of the war, said that BTB has been the graph of choice for the majority of elite athletes in the USA and recent studies and meta-analysis have found that BTB have lower failure rates and less residual anterior knee laxity compared with hamstring tendon. Of course, soccer is by far the most popular sport in the war and of course in Latin America and American football is the most popular sport in the USA.

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ACL reconstruction techniques

bone-patellar tendon-bone graft

hamstring tendon graft