2023 AOSSM Annual Meeting Recordings with CME-When Extra-Articular Tenodesis in Soccer?

Video Transcription

Video Summary

In this video, Dr. Matias Costa Paz from Argentina discusses the indication of anterolateral ligament reconstruction in soccer players. He highlights the function of the anterolateral ligament in controlling internal rotation and shares surgical techniques used in his group, including modified LEMUR and allograft reconstructions. Dr. Paz emphasizes the importance of considering factors such as surgeon's experience, ACL primary or revision surgery, and parameters like pivot shift, young age, hyperlaxity, and pivot sports when determining the need for anterolateral ligament reconstruction. He shares a successful case study of a soccer player who underwent ACL revision and anterolateral ligament reconstruction. Dr. Paz also introduces a guideline with 15 parameters to help define indications for this procedure. He concludes by stating that while the procedure is commonly performed for elite and revision ACL cases, it should be carefully considered for recreational soccer players with primary ACL rupture. Lower re-rupture rates have been observed with anterolateral ligament reconstruction. The video is delivered by Dr. Matias Costa Paz from Argentina.

Asset Caption

Matias Cost Paz, MD

Keywords

anterolateral ligament reconstruction

soccer players

surgical techniques

ACL revision surgery

recreational soccer players