AANA19 Knee Access Pass-Panel Discussion_ Lucha Libre_ Rapid Fire Cases on Knee and Ligament-Dr. Julie A. Dodds, M.D.

Panel Discussion_ Lucha Libre_ Rapid Fire Cases on Knee and Ligament-Dr. Julie A. Dodds, M.D.

Video Transcription

Video Summary

A 28-year-old former Division I basketball player with a failed ACL allograft complained of instability and pain. Despite MRI showing an intact graft, physical exams revealed a vertical, dysfunctional graft and significant articular cartilage lesions missed on imaging. Panelists emphasized reliance on physical exam over MRI, noted the drawbacks of allografts in young active patients, and recommended revision with autograft (preferably BTP) along with possible extra-articular procedures. Cartilage damage was addressed with debridement and biopsy for future treatment. Preoperative alignment imaging was stressed for revision planning. Overall, this case highlighted challenges in ACL revision and articular cartilage management in athletes.

Keywords

ACL revision

allograft failure

physical exam vs MRI

articular cartilage lesions

autograft reconstruction