2024 AANA/ISAKOS Specialty Day All-Access Pass-Debate Speaker #1: What Graft Would I Use: BTB Alone is the Way to Go

Debate Speaker #1: What Graft Would I Use: BTB Alone is the Way to Go

Video Transcription

Video Summary

The video discusses ACL reconstruction in a young recreational tennis player with mild knee hyperextension. The speaker advocates for bone-tendon-bone (BTB) autograft as the best option, citing recent large registry studies showing lower revision rates and better joint stability compared to hamstring grafts. BTB also leads to superior limb symmetry and strength recovery by two years post-op. Hyperextension increases anterior tibial translation risk, making BTB preferable for stability. The advice includes repairing the meniscus and performing anatomically correct ACL reconstruction with BTB to optimize outcomes and reduce re-injury risk, enabling a safe return to recreational sports.

Asset Caption

Cassandra A. Lee, M.D.

Keywords

ACL reconstruction

bone-tendon-bone autograft

knee hyperextension

meniscus repair

recreational tennis player