AANA/SOMOS Enduring Knee Program 2025-Case Presentations: Civilian/Military Cases on Complex Knee Instability: Revisions, Multi-ligamentous Knee Injury, Posterolateral Rotatory Instability, Patella Instability/Overload, Tibial Slope Correction.

Video Transcription

Video Summary

A sports medicine panel discusses three knee cases and operative planning. Case 1: a 16-year-old football lineman sustains a high-energy multiligament injury (complete ACL/PCL plus posterolateral corner injury with popliteus and possible biceps femoris involvement) with open physes. Most favor single-stage reconstruction if motion is acceptable, with emphasis on respecting growth plates, careful tunnel strategy, early tendon repair when ruptured, and peroneal nerve identification before fibular drilling. A detailed step-by-step surgical “game plan” is highlighted as essential. Outcome: successful rehab and return to varsity football with bracing.<br /><br />Case 2: a 38-year-old with post-traumatic pain/instability decades after tibial plateau ORIF shows degenerative medial disease, slope issues, and ACL deficiency. Workup includes alignment films; staged management includes arthroscopy, hardware removal, and ultimately medial opening-wedge HTO with slope correction plus ACL reconstruction and MACI, yielding good 13-month results.<br /><br />Case 3: a 19-year-old wrestler with persistent grade-2 varus laxity from an FCL injury undergoes isolated LCL/FCL reconstruction (Larson) to enable return to training, with successful functional recovery.

Asset Caption

Case Presentations: Civilian/Military Cases on Complex Knee Instability: Revisions, Multi-ligamentous Knee Injury, Posterolateral Rotatory Instability, Patella Instability/Overload, Tibial Slope Correction.
Moderators: Richard Judd Robins, M.D., Mark H. Getelman, M.D., FAANA
Panel: Shawn M. Gee, M.D., Grant Cochran, M.D., FAANA, Lucas S. McDonald, M.D., MPHTM, FAANA, Jason L. Koh, M.D., FAANA, Nicholas A. Sgaglione, M.D., Cassandra A. Lee, M.D., John M. Tokish, M.D., FAANA

Keywords

multiligament knee injury

ACL/PCL reconstruction

posterolateral corner repair

high tibial osteotomy with slope correction

ACL deficiency post-tibial plateau ORIF

LCL/FCL (Larson) reconstruction