2021 Annual Meeting Knee Access Pass-My Graft is Too Long??

Video Transcription

Video Summary

The speaker discusses challenges with graft length and fixation in ACL reconstruction, especially using bone-tendon-bone (BTB) grafts with anteromedial (AM) drilling, which creates shorter tunnels compared to trans-tibial approaches. Graft mismatch can occur, notably in cases like patella alta, leading to difficulty with graft length and fixation. Solutions include trimming bone blocks, adjusting tunnel angles, lengthening femoral tunnels, or securing soft tissue on the tibial side. Preoperative planning using imaging to anticipate issues, templating tunnels, and having backup fixation options are recommended to manage these challenges effectively.

Asset Caption

Dr. Peter MacDonald

Keywords

ACL reconstruction

bone-tendon-bone graft

anteromedial drilling

graft length mismatch

preoperative planning