2024 AANA/ISAKOS Specialty Day All-Access Pass-Debate Introduction: 30-Year-Old Female With 15 Degree Hyperextension With an ACL Tear With Medial Meniscus Peripheral Longitudinal 10 mm Tear. What Graft Would I Use

Debate Introduction: 30-Year-Old Female With 15 Degree Hyperextension With an ACL Tear With Medial Meniscus Peripheral Longitudinal 10 mm Tear. What Graft Would I Use

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Video Summary

The debate focuses on ACL reconstruction in the context of knee hyperextension and generalized ligamentous laxity. The case presented is a 30-year-old female with a high Beighton score (9), indicating generalized laxity, who sustained an ACL tear from a hiking injury five weeks prior. Despite initial therapy and bracing, she experiences knee instability affecting her recreational sports activities. Clinical findings include 10° hyperextension, Lachman and pivot tests at grade 2, and stable collateral ligaments. Imaging reveals an ACL tear along with a vertical medial meniscus tear. The discussion aims to address surgical approaches tailored to such complex knee presentations.

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Nicholas A. Sgaglione, M.D.

Keywords

ACL reconstruction

knee hyperextension

generalized ligamentous laxity

Beighton score

medial meniscus tear