2023 Annual Meeting Knee Access Pass-Should We Really #LaudTheQuad? My Case for BTB

Should We Really #LaudTheQuad? My Case for BTB

Video Transcription

Video Summary

Dr. Waterman discusses graft choices for ACL reconstruction, advocating for bone-patellar tendon-bone (BTB) autografts over quadriceps tendon (quad) grafts. Although quad grafts have grown in popularity due to new technology, studies show they have higher failure rates and complications like arthrofibrosis and impaired range of motion. BTB grafts heal faster, enable earlier rehabilitation, and correlate with better post-operative quad strength recovery, despite concerns about donor site morbidity. Meticulous surgical technique and early rehab mitigate these issues. Overall, BTB remains the gold standard, especially for elite athletes, offering reliable outcomes and graft incorporation.

Asset Caption

Kristofer J. Jones, M.D.

Keywords

ACL reconstruction

bone-patellar tendon-bone autograft

quadriceps tendon graft

graft failure rates

post-operative rehabilitation