AOSSM Specialty Day 2023 with ISAKOS - no CME-1. AOSSM-ISAKOS - Session V

Video Transcription

Video Summary

In the video, Greg Miletus discusses the use of different autografts for ACL reconstruction. He focuses on the increasing interest in the use of quadriceps tendons, which have shown good biomechanical properties and potentially less donor site morbidity. However, a Danish registry study showed a three times higher risk of revision with quadriceps tendons compared to patellar tendons. Miletus presents the findings of a retrospective cohort study using the Kaiser Permanente ACL registry, which included over 22,000 patients. The study found no significant differences in revision rates between quadriceps and patellar tendons, but a 1.5 times higher risk of revision with hamstrings compared to patellar tendons. By using patellar or quadriceps tendons instead of hamstrings, one could potentially save one revision out of 36 cases or 30 cases, respectively. The study suggests that further research is needed to fully assess the efficacy and outcomes of different autograft choices for ACL reconstruction.

Keywords

autografts

ACL reconstruction

quadriceps tendons

patellar tendons

revision rates