AANA19 Knee Access Pass-Is Intraoperative Fluoroscopy Necessary to Confirm Device Position for Femoral Sided Cortical Suspensory Fixation during Anterior Cruciate Ligament Reconstruction

Is Intraoperative Fluoroscopy Necessary to Confirm Device Position for Femoral Sided Cortical Suspensory Fixation during Anterior Cruciate Ligament Reconstruction_-Dr. Clayton William Nuelle, M.D.

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Video Summary

This study evaluated intraoperative fluoroscopy's role in confirming femoral cortical suspensory fixation placement during ACL reconstruction. Historically, bone-tendon-bone grafts with interference screws have been standard but carry complications like donor site morbidity and anterior knee pain. All-inside techniques with cortical suspensory fixation are less invasive alternatives. In a retrospective review of 100 patients, those with intraoperative fluoroscopy (60 patients) had significantly more optimal device positioning compared to those without it (40 patients), reducing suboptimal placement from 10%. While limited by retrospective design and unequal group sizes, results suggest fluoroscopic imaging helps ensure accurate device placement and may improve surgical outcomes.

Keywords

intraoperative fluoroscopy

femoral cortical suspensory fixation

ACL reconstruction

all-inside technique

device positioning accuracy