IC 307  

Title: Advanced Techniques for the ACL Surgeon: Meniscal Root and Ramp Tears, Collateral Ligament Injuries, Anterolateral Complex, and Tibial Slope.             

Course Description:

Primary anterior cruciate ligament (ACL) reconstruction is a reproducible procedure if performed according to anatomic and soft tissue principles. However, the success of ACL reconstruction depends on recognition and treatment of concomittant injuries. Meniscal root tears and ramp lesions are two common injury patterns that occur with acute ACL tears and surgical treatment indications and techniques are evolving. Medial collateral ligament and posterolateral corner injuries may be misdiagnosed or neglected, and this may result in residual laxity and ACL graft failure. The anterolateral complex of the knee including the anterolateral ligament, Kaplan fibers, and iliotibial band plays an important biomechanical role in stabilizing the knee against excessive anterolateral rotation and surgical reconstruction may improve ACL reconstruction success in select indications. Excessive posterior tibial slope may place knees at greater risk for ACL tear and may result in greater risk of ACL reconstruction failure; this should be recognized, evaluated, and considered by surgeons in their treatment planning. Attendees will learn to recognize and incorporate these concepts and potential surgical treatments into their practice with the goal of improving ACL reconstruction outcomes.      

Learning Objectives:

• Recognize concomitant pathology that may influence treatment and outcomes for ACL reconstruction.
• Identify common meniscal tear patterns, including root tears and ramp lesions, that may occur with acute ACL tears.            
• Recognize the important role of the collateral ligaments on ACL reconstruction biomechanics and options for surgical treatment.      
• Update attendees on the latest research and surgical techniques for addressing injury to the anterolateral complex of the knee. 
• Recognize the role of tibial slope in ACL injuries and surgical outcomes.             

Faculty:

Andrew G. Geeslin         

Jorge Chahla, MD, PhD 

Christopher M.  Larson, MD       

Patrick W. Kane, MD