IC 307-2022: Advanced Techniques for the ACL Surgeon: Meniscal Root and Ramp Tears, Collateral Ligament Injuries, Anterolateral Complex, and Tibial Slope.-Advanced Techniques for the ACL Surgeon: Meniscal Root and Ramp Tears, Collateral Ligament Injuries, Anterolateral Complex, and Tibial Slope. (1/5)

Advanced Techniques for the ACL Surgeon: Meniscal Root and Ramp Tears, Collateral Ligament Injuries, Anterolateral Complex, and Tibial Slope. (1/5)

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Video Transcription

Video Summary

The video summarizes the importance of the anterolateral complex (ALC) in ACL reconstruction surgeries. The speaker discusses the high rates of ACL graft rupture and residual pivot shift after traditional ACL reconstruction, as well as the role of the ALC in controlling tibial internal rotation and anterolateral rotatory instability. The speaker explains the anatomy of the ALC and its femoral and tibial origins. Various reconstruction techniques for ALC using a free tendon graft are presented, with most showing the femoral origin proximal and posterior to the FCL. The indications for ALC reconstruction are discussed, including high-grade pivot shift, hyperlaxity, revision ACL, Segan fracture, and pivoting sports. The speaker also presents outcomes of ALC reconstruction, including decreased graft failure rates and improved patient-related outcome measures. The video concludes with case examples and surgical techniques for ALC reconstruction. Overall, the video emphasizes the importance of considering ALC reconstruction in high-risk ACL patients to improve outcomes.

Asset Caption

Christopher Larson, MD

Keywords

anterolateral complex

ACL reconstruction surgeries

tibial internal rotation

reconstruction techniques

graft failure rates

high-risk ACL patients