AANA/ISAKOS Knee and Shoulder Arthroscopy Course-Online Didactics (April 2024)-ACL Tunnels, Grafts, and Fixation

ACL Tunnels, Grafts, and Fixation_ Avoiding Common Mistakes

Video Transcription

Video Summary

This talk covers ACL reconstruction focusing on graft choices, tunnel placement, and fixation to avoid common errors. The ACL has two bundles providing stability. Grafts include autografts (hamstring, bone-patellar tendon-bone, quadriceps tendon) and allografts, each with pros and cons regarding strength, healing, donor morbidity, and recovery. Quadriceps tendon autografts are emerging as reliable primary options. Femoral and tibial tunnel positioning is critical for anatomic reconstruction; independent femoral tunnel drilling with hyperflexion improves placement accuracy. Fixation must be strong to withstand early rehabilitation forces. Proper patient positioning and visualization, alongside understanding graft and fixation options, are essential to successful outcomes.

Keywords

ACL reconstruction

graft choices

tunnel placement

fixation techniques

quadriceps tendon autograft