APEX Knee Navigating Pearls and Pitfalls-ACL Graft Selection Debate 1: Patellar Tendon ACLR: BTB is the Gold Standard!

ACL Graft Selection Debate 1: Patellar Tendon ACLR: BTB is the Gold Standard!

Video Transcription

Video Summary

Kaletsha Kauraha’s presentation on patella tendon ACL reconstruction highlights the BTB graft as the gold standard for ACL surgery due to its biomechanical similarity to native ACL, strong bone-to-bone healing, and lower failure rates compared to hamstring and quadriceps grafts. Modern techniques involve improved femoral tunnel placement to reduce rotational laxity, using medial portals and suspensory fixation. While BTB grafts carry risks like anterior knee pain and patella fractures, they offer better stability and graft size consistency. Studies show BTB grafts have superior outcomes in high-level athletes despite potential morbidity and osteoarthritis concerns.

Asset Caption

Dr. Kelechi Okoroha

Keywords

BTB graft

ACL reconstruction

patella tendon

femoral tunnel placement

anterior knee pain