Course Lecture Pearls: Advanced Knee-Meniscus-Anatomic ACL Surgery-Faculty Lecture

Anatomic ACL Surgery-Faculty Lecture_ Darren L. Johnson, MD

Video Transcription

Video Summary

Dr. Johnson discusses revision ACL surgery, emphasizing a two-incision, outside-in technique. He highlights the benefits of precise femoral tunnel placement and graft selection, favoring single-bundle patellar tendon grafts for young patients. Key points include using specialized guides for tunnel accuracy, challenges with prior hardware removal, and adjustments for skeletally immature patients. Dr. Johnson stresses the importance of visualizing the femoral footprint arthroscopically to avoid poor tunnel positioning and advocates preserving the ACL stump to enhance graft healing. He concludes by sharing imaging that reflects his preferred surgical outcomes, aiming for anatomical graft placement and improved function.

Keywords

revision ACL surgery

two-incision outside-in technique

femoral tunnel placement

single-bundle patellar tendon graft

ACL stump preservation