IC 206-2024: Anterior Cruciate Ligament Repair: Modern-day Techniques and their Role in Today's ACL Toolbox-IC206_IC206 Anterior Cruciate Ligament Repair Modern-day Techniques and their Role in Today's ACL Toolbox

Video Transcription

Video Summary

The session was a comprehensive discussion on ACL (anterior cruciate ligament) repair techniques led by Dr. Sebastian Rilke from the Hospital for Special Surgery. Covering both historical context and modern advancements, the speakers addressed new surgical techniques and outcomes in ACL repair.<br /><br />Dr. Mark Sherman provided a historical overview, tracing the evolution of ACL repair from early attempts in the late 19th century through more recent studies, highlighting the distinction he made in the outcomes based on tear types in his seminal 1990 paper.<br /><br />Dr. Greg DeFelice introduced his 15-year journey with selective arthroscopic anatomic ACL primary repair. He emphasized a preservation-first approach that tailors treatment based on tear type and tissue quality, presenting findings that demonstrate minimal morbidity and encouraging outcomes, especially for patients over 21.<br /><br />Dr. Wimi Douoguih discussed his journey in adopting ACL repair, inspired by colleagues who showed promising results. He highlighted his technique using a cortical button and internal bracing, which he found effective with a focus on patient-reported outcomes and faster return to activity.<br /><br />Dr. Bertrand Sonnery-Cottet shared the French experience, including insights into modern ACL repair combined with lateral extra-articular tenodesis to enhance stability and reduce failure rates, emphasizing biological aspects crucial in tissue healing.<br /><br />Dr. Edoardo Monaco from Rome provided data from his institution and discussed the philosophy behind ACL preservation, citing successful outcomes especially when combined with additional lateral procedures. He detailed patient age and activity as critical factors in treatment success.<br /><br />Dr. Andreas Gomoll concluded with insights into the BEAR (Bridge-Enhanced ACL Repair) technique, focusing on bridging tissue gaps and promoting ACL healing using collagen implants, sharing preliminary data on successful outcomes, particularly in older patients.<br /><br />The panel answered audience questions and shared practical insights into patient assessment and surgical techniques, reinforcing the importance of biological understanding and careful patient selection in ACL repair success.

Keywords

ACL repair

anterior cruciate ligament

Dr. Sebastian Rilke

Hospital for Special Surgery

surgical techniques

historical overview

Dr. Mark Sherman

Dr. Greg DeFelice

Dr. Wimi Douoguih

cortical button

lateral extra-articular tenodesis

Dr. Bertrand Sonnery-Cottet

BEAR technique