2023 Annual Meeting Knee Access Pass-Extra-Articular Reconstruction: Who Needs It and What’s the Data?

Extra-Articular Reconstruction: Who Needs It and What’s the Data?

Video Transcription

Video Summary

Dr. John Hughes discussed individualized ACL reconstruction, emphasizing anatomy and patient-specific factors, often favoring quadriceps tendon grafts over hamstring. He highlighted challenges like residual rotatory instability and the role of lateral extra-articular tenodesis (LET) in protecting the graft, especially in high-risk patients within the first six months post-surgery. Studies showed LET reduces early rotatory instability and benefits patients with lateral meniscus tears without causing over-tightening. LET is selectively used, primarily in high-risk cases per Stability studies. Dr. Hughes advocates for tailored treatment considering graft choice, anatomy, and patient risk to optimize ACL reconstruction outcomes.

Asset Caption

Jonathan Hughes, M.D.

Keywords

Individualized ACL reconstruction

Quadriceps tendon graft

Lateral extra-articular tenodesis (LET)

Rotatory instability

High-risk patient management