IC 302-2023: My Worst Day in the Operating Room - Navigating Challenges and Complications Associated with Arthroscopic Knee Surgery, and How it has Changed my Practice.-IC 302 - My Worst Day in the Operating Room - Navigating Challenges and Complications Associated with Arthroscopic Knee Surgery, and How it has Changed my Practice. (3/4)

IC 302 - My Worst Day in the Operating Room - Navigating Challenges and Complications Associated with Arthroscopic Knee Surgery, and How it has Changed my Practice. (3/4)

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Video Transcription

Video Summary

The speaker begins by discussing how orthopedic surgeons often present idealized cases at conferences, which can create unrealistic expectations. They acknowledge that even experienced surgeons can have complications, and proceed to share their worst case ever, which occurred 15 years prior. The patient was a 19-year-old male lacrosse player who underwent a straightforward BTB ACL surgery. However, five weeks post-op, the patient experienced significant swelling and pain, which was eventually diagnosed as a femoral fracture. The speaker and other surgeons discuss the rarity of this complication and speculate on potential causes. They highlight the need for surgeons to learn from complications and share their experiences to avoid repeating mistakes. The speaker also discusses their current approach to BTB ACL surgeries, emphasizing the importance of respecting hoop stresses and making technical adjustments to potentially prevent similar complications. The video concludes with discussions on alternative screw sizes and the challenges of managing complications effectively. Unfortunately, the patient in this case had a poor outcome with a subsequent osteochondral graft. The speaker emphasizes the humbling nature of complications and the importance of both technical considerations and emotional well-being in surgical practice. No credits were granted.

Asset Caption

Armando Vidal, MD

Keywords

orthopedic surgeons

complications

BTB ACL surgery

femoral fracture

learning from complications