AANA24 Knee All-Access Pass-GENERAL SCIENTIFIC SESSION Debates, Complications and Pearls Competition (Main Stage):

Video Transcription

Video Summary

The General Scientific Session Debates, Complications, and Pearls Competition at ANNA 24 featured expert discussions and debates on key orthopedic topics, moderated by Drs. Brian Cole and Brian Waterman. In the ACL graft selection debate for a 21-year-old female soccer athlete, Dr. Eric McCarty advocated for bone-patellar tendon-bone (BTB) autografts due to their predictable healing, strong fixation, and low failure rates, especially in young athletes. Dr. Mary Mulcahy championed quadriceps tendon autografts highlighting their biomechanical strength, lower donor site pain, and better functional outcomes compared to BTB and hamstring grafts. Dr. Bork defended hamstring tendon autografts citing versatility, low morbidity, and improved rehabilitation outcomes, stressing proper technique to mitigate traditional drawbacks.<br /><br />The shoulder instability debate focused on the Latarjet procedure versus distal tibia allograft for a 22-year-old NFL hopeful with 22% glenoid bone loss. Dr. Newt favored the Latarjet for its long history, established outcomes, and sling effect despite some complications, while Dr. Kevin Farmer countered that distal tibia allograft offers similar results with fewer complications and less osteoarthritis.<br /><br />In rotator cuff augmentation for a 65-year-old female with a massive tear, Michael Bryan supported bioinductive collagen implants pointing to ease of use and reduced retear rates, while Dr. Catherine Burns advocated for human dermal allografts citing superior structural support and biological integration for massive tears.<br /><br />The session also covered hip labral repair techniques debating labral augmentation versus reconstruction; percutaneous versus open Achilles tendon repair in a 50-year-old pickleball player; and presented various complication case studies including intraoperative labral damage, greater tuberosity fractures, and unusual postoperative edema after ACL surgery.<br /><br />Finally, pearls presentations included innovative surgical tips like the "Coban Curl" to protect fingers during suture tensioning, differential repair approach for delaminated rotator cuff tears, double-anchor suture stable repair for medial meniscal root tears, and hip labral reconstruction using fresh meniscal allografts.<br /><br />Audience participation through live voting after each debate highlighted the dynamic nature and diversity of expert opinions in advancing orthopedic surgical practice.

Asset Caption

Introduction by Moderators: Brian J. Cole, M.D., M.B.A., FAANA, Brian R. Waterman, M.D., FAANA

Keywords

ACL graft selection

bone-patellar tendon-bone autograft

quadriceps tendon autograft

hamstring tendon autograft

Latarjet procedure

distal tibia allograft

shoulder instability

rotator cuff augmentation

bioinductive collagen implants

human dermal allografts

hip labral repair

Achilles tendon repair