AOSSM Youth to the NFL Sports Medicine Course no CME-Optimizing the ACL in 2023

Video Transcription

Video Summary

In this video, the speaker discusses optimizing ACL surgery. They share their clinical experience of performing 125-150 ACL surgeries yearly, primarily using BTB autografts with internal screw fixation. They highlight the advantages of BTB autografts, including easy harvesting, reliable graft size, bone-to-bone healing, low risk of disease transmission, and proven outcomes in knee stability, return to sport, and decreased revisions. The speaker also mentions that BTB autografts are the gold standard in the NFL, as supported by surveys and studies. They compare BTB autografts to other options such as allografts and hamstring autografts, discussing the higher risk of complications, re-rupture, weakness, and potential for OA with these alternatives. The speaker also touches on the potential use of quad tendon autografts and the benefits of using an internal brace for graft protection. They conclude by emphasizing the data supporting the use of BTB autografts as the current gold standard in ACL surgery, particularly in the NFL.

Asset Caption

Presented by James P. Bradley MD

Keywords

ACL surgery

BTB autografts

internal screw fixation

NFL

gold standard