AOSSM Specialty Day 2023 with ISAKOS with CME-1. AOSSM-ISAKOS - Session V

Video Transcription

Video Summary

The video features Greg Miletus discussing the use of different autografts in ACL reconstruction. He highlights the increasing interest in quadriceps tendons as an alternative to patellar tendon and hamstring autografts. Miletus refers to a Danish registry study that showed a three times higher risk of revision with quadriceps tendons compared to patellar tendons, but a follow-up study showed more congruent results. To further evaluate this, a retrospective cohort study was conducted using the Kaiser Permanente ACL registry, involving over 22,000 patients and 290 surgeons. The study found that quadriceps tendons had similar revision rates as patellar tendons, while hamstring tendons had a higher risk of revision. In conclusion, quadriceps tendon and patellar tendon autografts appear to be viable options for ACL reconstruction, potentially reducing the risk of revision compared to hamstring tendons.

Keywords

Greg Miletus

autografts

ACL reconstruction

quadriceps tendons

patellar tendon