AOSSM Youth to the NFL Sports Medicine Course no CME-Managing the Recurrent ACL Graft Tear

Video Transcription

Video Summary

In this video, the speaker discusses revision ACL reconstruction, focusing on how to manage recurrent ACL graft tears. They mention that revision surgery typically has a higher failure rate compared to primary ACL reconstruction. Various factors that contribute to this increased failure rate are discussed, including chondral defects, meniscus tear patterns, and patient expectations. The speaker emphasizes the importance of considering all potential issues before jumping to technical failure as the primary cause. They recommend examining patient history, performing physical exams, and utilizing advanced imaging techniques to properly diagnose and address the underlying problems. The speaker also highlights the significance of addressing associated injuries, such as lateral and posteromedial corner injuries, as well as considering slope-changing osteotomies in cases of malalignment. They conclude by mentioning the benefits of lateral extra-articular augmentation in reducing graft re-rupture.

Asset Caption

Presented by Asheesh Bedi MD

Keywords

revision ACL reconstruction

recurrent ACL graft tears

failure rate

chondral defects

meniscus tear patterns