AOSSM Youth to the NFL Sports Medicine Course with CME-Managing the Recurrent ACL Graft Tear

Video Transcription

Video Summary

In this video, the speaker discusses the challenges and considerations when it comes to revision ACL reconstruction. They highlight the higher failure rates of revision surgeries compared to primary ACL reconstructions. They also emphasize the importance of evaluating and addressing associated issues such as chondral defects, meniscus tears, and occult instability. The speaker suggests a step-by-step approach to tackling these revision surgeries, focusing on identifying the underlying causes of failure, including potential biologic or graft-related issues. They also discuss the significance of patient expectations and bridging the gap between patient expectations and objective outcomes. The speaker goes on to discuss the importance of comprehensive history taking and physical examination to identify key factors that contribute to graft failure. They also highlight the value of advanced imaging techniques and stress radiographs. Finally, the speaker discusses the technical aspects of revision ACL reconstruction, including managing widened tunnels and the choice of graft material. They conclude by discussing the potential benefits of lateral extra-articular augmentation in reducing graft re-rupture.

Asset Caption

Presented by Asheesh Bedi MD

Keywords

revision ACL reconstruction

failure rates

chondral defects

meniscus tears

occult instability