AANA/SOMOS Course Materials (August 2021)-Saturday Morning Lectures

Video Transcription

Video Summary

The session opens with an orientation to a surgical skills lab: attendees are assigned to stations with high faculty-to-learner ratios, expected to actively assist, and must follow OSHA rules (scrubs/boots/gown/gloves/face shields; no food, drinks, or laptops). Safety resources (eyewash, first aid) are identified, sharps must be controlled, and participants are reminded to handle expensive arthroscopy equipment carefully and call staff for technical or positioning issues. Faculty, staff, and industry reps are distinguished by colored vests.<br /><br />A prerecorded virtual lecture by Martha Murray reviews bridge-enhanced ACL repair (BEAR). She explains why simple ACL suture repair fails (gap formation and inability to sustain a healing clot in synovial fluid) and describes using a blood-soaked resorbable scaffold to bridge the tear. Porcine studies showed improved ligament formation, strength comparable to reconstruction, and less cartilage damage. Early human trials (BARE-1) found no infections/revisions at two years, good outcomes, and better hamstring strength versus hamstring autograft reconstruction. A larger randomized adolescent trial (BARE-2) demonstrated non-inferior patient-reported outcomes and stability, no immune reactions, preserved hamstring strength, and similar retear rates; outcomes did not worsen in females.<br /><br />Subsequent talks review ACL graft choice (BTB, hamstring, quad, allograft), emphasizing that well-placed anatomic reconstruction matters most, with allograft caution in young patients. Additional lectures cover revision ACL planning, lateral extra-articular tenodesis/ALL augmentation for high-risk rotational instability, PCL reconstruction technical pearls (posteromedial portal, tibial “shelf”), and MCL injury evaluation and treatment algorithms. The session ends with case-panel discussions and transition to the lab.

Keywords

surgical skills lab orientation

OSHA compliance in OR

arthroscopy equipment handling

sharps safety protocols

bridge-enhanced ACL repair (BEAR)

ACL suture repair failure mechanisms

blood-soaked resorbable scaffold

synovial fluid clot inhibition

porcine ACL healing studies

BEAR-1 human clinical trial

BEAR-2 randomized adolescent trial

ACL graft choice (BTB hamstring quad allograft)

revision ACL reconstruction planning

lateral extra-articular tenodesis (LET)

PCL reconstruction technical pearls