2024 AANA/ISAKOS Specialty Day All-Access Pass-Debate Speaker #2: Soft-Tissue Grafts With Tenodesis is Tried and True

Debate Speaker #2: Soft-Tissue Grafts With Tenodesis is Tried and True

Video Transcription

Video Summary

Dr. Shatner discusses ACL reconstruction for a 30-year-old female with ACL and meniscus tears, favoring a hamstring graft combined with extra-articular tenodesis (LED) to mitigate graft failure risks, particularly in patients with knee hyperextension. He emphasizes that while hamstring grafts have a failure risk, modifying surgical technique and adding LED improves outcomes, comparable to bone-patellar tendon-bone (BPTB) grafts. Proper graft tensioning near full extension is crucial for regaining full knee motion. Dr. Shatner supports hamstrings plus LED as the optimal approach despite cosmetic concerns about scarring.

Asset Caption

Sachin Ramchandra Tapasvi, M.D.,M.B.B.S.,M.S.

Keywords

ACL reconstruction

hamstring graft

extra-articular tenodesis

knee hyperextension

graft tensioning