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AANA/ISAKOS Knee and Shoulder Arthroscopy Course-O ...
ACL Tunnels, Grafts, and Fixation_ Avoiding Common ...
ACL Tunnels, Grafts, and Fixation_ Avoiding Common Mistakes
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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
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