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. (4/5)

Advanced Techniques for the ACL Surgeon: Meniscal Root and Ramp Tears, Collateral Ligament Injuries, Anterolateral Complex, and Tibial Slope. (4/5)

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Video Transcription

Video Summary

In the video, the speaker discusses the role of the post-lateral corner and post-medial corner on ACL graft and the importance of addressing these structures during ACL reconstruction to maximize success. The speaker emphasizes the need for a comprehensive diagnosis and the difficulty in determining the source of rotational instability. They highlight the potential benefits of osteotomy and stress radiographs in diagnosing and assessing the extent of the injury. The speaker also discusses the imaging findings for post-lateral corner tears, including waviness of the FCL and avulsion of the popliteus tendon. They mention the importance of addressing all injuries at the same time and the increased risk of ACL failure if post-lateral corner and posterior medial corner tears are not addressed. The speaker presents a case study of a 16-year-old female with an ACL tear and an FCL injury and demonstrates the surgical approach taken. Discussion and Q&A follow, including the timing of lateral-sided reconstruction and the role of the deep MCL. The speaker also mentions the importance of rehab considerations for ACL and FCL reconstruction. No specific credits are mentioned.

Asset Caption

Jorge Chahla, MD, PhD

Keywords

post-lateral corner

ACL graft

rotational instability

FCL injury

rehab considerations