IC 101-2022: Which ACL Reconstruction Needs More? A Case-Based Discussion of Slope Correction, Lateral Augmentation, Meniscal Transplantation...-Which ACL Reconstruction Needs More? A Case-Based Discussion of Slope Correction, Lateral Augmentation, Meniscal Transplantation... (4/7)

Which ACL Reconstruction Needs More? A Case-Based Discussion of Slope Correction, Lateral Augmentation, Meniscal Transplantation... (4/7)

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Video Transcription

Video Summary

The video transcript discusses considerations for meniscal transplantation in the setting of meniscal deficiency and ACL reconstruction. It presents a case study of a 17-year-old female soccer player who had multiple ACL surgeries and partial medial meniscectomies. The video highlights the importance of addressing the functional medial meniscus deficiency and discusses the biomechanical interdependence between the ACL graft and the meniscus. Clinical studies indicate that meniscal deficiency affects the longevity of ACL reconstruction and can lead to increased graft forces. Meniscal allograft transplantation is considered as a treatment option, but clinical outcomes vary. The video concludes that meniscal deficiency should not be ignored and should be considered in ACL revision surgeries, but expectations should be tempered.

Asset Caption

Bryson Lesniak, MD

Keywords

meniscal transplantation

meniscal deficiency

ACL reconstruction

functional medial meniscus deficiency

biomechanical interdependence