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... (7/7)

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

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Video Transcription

Video Summary

The video transcript features a panel discussion on various topics related to ACL reconstruction. One of the main points of discussion is the use of lateral extra-articular tenodesis (LET) in ACL reconstruction surgery. The panelists discuss the reasons why LET went away and then made a comeback in North America, citing previous studies as the key decision-making factor. They also mention that the use of LET may be beneficial for high-risk individuals with specific risk factors such as high tibial slope and generalized ligamentous laxity. They discuss the different graft options for LET, such as using the central slip of the IT band, and the post-operative fixation of the graft. The panelists also touch upon considerations for patients with unilateral valgus and physical varus alignment, as well as the potential role of osseous factors in ACL failure.

Asset Caption

Alexander Weber, MD; Christopher Larson, MD; Asheesh Bedi, MD; Alan Getgood, MD, FRCS (Tr&Orth); Bryson Lesniak, MD; Volker Musahl, MD; Jorge Chahla, MD, PhD

Keywords

ACL reconstruction

lateral extra-articular tenodesis

LET

graft options

post-operative fixation