AANA25 Knee Access Pass-CONCURRENT SESSION 2H: AANA and Latin America

Video Transcription

Video Summary

This comprehensive session, conducted bilingually in Spanish and English, focused on advanced orthopedic procedures related to knee and shoulder injuries, drawing upon Latin American expertise. Key topics included the Latin American consensus on indications for lateral extra-articular tenodesis (LET) adjunctive to anterior cruciate ligament (ACL) reconstruction. Dr. Jesús Ignacio Cardona presented consensus from 41 surgeons emphasizing LET primarily for patients under 25 engaged in pivoting sports with high rotational instability, noting it is not universally required.<br /><br />Dr. Francisco Figueroa expanded on indications for extra-articular augmentation during primary ACL reconstruction, highlighting increased usage to approximately 80% in young, active patients and those undergoing meniscal repair, citing improved stability and reduced graft failure.<br /><br />Dr. Cesario Treva discussed complex revision ACL reconstruction, underlining the importance of diagnosing failure causes, advanced imaging, and decision-making between one- and two-stage revisions based on tunnel condition and concomitant pathologies.<br /><br />Meniscal preservation was promoted by Diego, emphasizing repair over meniscectomy even in complex tears, supported by biologic augmentation strategies such as PRP and intrameniscal injections to enhance healing and biomechanical restoration.<br /><br />Dr. Fernando Hernández-Pérez addressed meniscal root and ramp lesions, favoring repair via posterior portals and transosseous or anchor techniques to restore knee biomechanics and delay osteoarthritic progression.<br /><br />Patellar instability management focusing on trochlear dysplasia was outlined by Cesar Vietovich, describing surgical strategies stratified by patient age and cartilage status, including trochlearplasty variants combined with medial patellofemoral ligament reconstruction.<br /><br />Additional discussions included indications for total knee arthroplasty mainly in end-stage osteoarthritis or complex trauma, a low-cost arthroscopic acromioclavicular reconstruction technique using nylon sutures, and the potential role of orthobiologics in rotator cuff repair with mixed evidence on efficacy.<br /><br />Overall, the session highlighted evolving surgical techniques, the necessity for personalized treatment algorithms informed by patient and injury factors, and ongoing evaluation of biologic adjuncts to optimize outcomes in ligament, meniscal, and patellofemoral disorders.

Asset Caption

Moderators: Diego Perez Salazar Marina, M.D., FAANA, Fernando Hernandez-Perez, M.D., FAANA
Jesus Ignacio Cardona-Medina, M.D. | Francisco Figueroa, M.D. | Cesareo T. Vasavilbaso, M.D. | Cesar Guillermo Zvietcovich Cornejo, M.D. | Pablo Cornejo, M.D. | Alfonso R. Barnechea, M.D. | Christian M. Lozano, M.D., M.B.A.

Keywords

Latin American consensus

lateral extra-articular tenodesis

anterior cruciate ligament reconstruction

pivoting sports

extra-articular augmentation

meniscal repair

ACL revision surgery

meniscal preservation

meniscal root lesions

patellar instability

total knee arthroplasty