IC104-2021: Emerging Techniques in ACL Reconstruction and Augmentation-Emerging Techniques in ACL Reconstruction and Augmentation (1/4)

Video Transcription

Video Summary

In this video transcript, Dr. Mike Alea from NYU discusses anterolateral ligament (ALL) reconstruction and iliotibial (IT) band tenodesis as surgical options for knee stability. He cautions against the "hammer and nail phenomenon," emphasizing that ALL and IT band procedures are not a solution for every knee issue. He highlights the historical significance of lateral knee structures in providing rotational stability and mentions the work of various researchers in the field. Dr. Alea discusses the importance of lateral structures in controlling the pivot shift and mentions studies that support the use of ALL reconstruction and IT band tenodesis in primary and revision ACL surgeries. He emphasizes the need for a thorough evaluation to identify at-risk knees for failure and discusses his preferred techniques for ALL reconstructions and IT band tenodesis. Dr. Alea encourages caution with over-tensioning and stresses the importance of considering other factors such as meniscal deficiency and malalignment in surgical decision-making. He concludes by discussing potential complications and urging surgeons to use augmentation procedures wisely and cautiously. The video does not provide specific credits for any studies mentioned.

Asset Caption

Michael Alaia, MD

Keywords

anterolateral ligament reconstruction

iliotibial band tenodesis

knee stability

pivot shift

ACL surgery