AANA24 Knee All-Access Pass-GENERAL SCIENTIFIC SESSION: Knee Ligament (Main Stage)

Video Transcription

Video Summary

The 42nd annual ANA meeting in Boston welcomed over 1,300 attendees, featuring 280 faculty from 15 countries, making it the largest in its history. The program emphasizes innovation in arthroscopy and sports medicine with a rich scientific agenda including debates, lectures, case panels, original research, and sessions on diversity, legacy, allied health, ultrasound, and education for residents and fellows. Brazil is the guest nation, contributing through its associations and experts.<br /><br />Key highlights included discussions on ACL injury management, focusing on graft selection, repair techniques, and augmentation to optimize outcomes. Dr. Aaron Critch emphasized individualized ACL graft choice, advocating caution against allografts in younger patients and hamstrings in young females due to higher failure rates. Dr. Gregory DeFelice promoted ACL primary repair for select tear types, underscoring innovation and biology. Dr. Katherine Koiner supported lateral extra-articular tenodesis (LET) to reduce rotational instability and graft failure, especially in high-risk patients. Dr. Michael Aliyah highlighted slope correction osteotomy to address increased tibial slope contributing to ACL failures, advocating patient-specific approaches.<br /><br />Dr. Seth Sherman discussed suture augmentation as a “dynamic seatbelt” to protect grafts, with growing biomechanical and clinical evidence supporting its use. Dr. Bruce Levy reviewed advanced techniques for PCL and postero-lateral corner reconstructions, including suture tape augmentation and adjustable loop fixation. Dr. Elizabeth Matzkin summarized recent literature on managing grade 3 MCL injuries, noting no clear superiority of repair versus reconstruction as long as ACL is addressed.<br /><br />Further sessions addressed complex multiligament knee injuries and revision ACL surgery, emphasizing individualized timing, staging, and surgical sequencing. Dr. Samer Hamoud gave insights into revision ACL surgery, stressing proper tunnel evaluation and graft choice, with bone grafting and two-stage revision often necessary for tunnel widening or malposition.<br /><br />A candid complications talk by Dr. Travis highlighted risks such as tibial tubercle fractures after multiple procedures and posterior wall blowouts during femoral tunnel drilling, emphasizing careful planning and patient communication.<br /><br />Dr. Rachel Frank shared technical pearls for quadriceps tendon ACL reconstruction, promoting minimally invasive harvest, suspensory fixation, and internal brace augmentation for safety and reproducibility.<br /><br />Clinical case discussions emphasized graft choices for skeletally immature and professional athletes, integration of LET for high-risk knees, meniscus preservation, and surgical planning in multiligament and revision scenarios. The session closed with encouragement for attendees to engage with industry innovations and resources in the exhibit hall.

Asset Caption

Introduction by Moderators: Aaron J. Krych, M.D., FAANA, Elizabeth G. Matzkin, M.D.

Keywords

42nd annual ANA meeting

Boston

1300 attendees

280 faculty

15 countries

arthroscopy innovation

sports medicine

ACL injury management

graft selection

ACL primary repair

lateral extra-articular tenodesis

slope correction osteotomy

suture augmentation

PCL reconstruction

multiligament knee injuries