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Optimizing ACL Reconstruction in 2022: A Case-Base ...
Optimizing ACL Reconstruction_ BTB_Hamstring are t ...
Optimizing ACL Reconstruction_ BTB_Hamstring are the Gold Standard
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Video Transcription
Video Summary
The speaker discusses optimizing ACL reconstruction, focusing on bone-patellar tendon-bone (BPTB) and hamstring autografts as gold standards. ACL injuries have increased, especially in female athletes. BPTB grafts offer fast bone-to-bone healing, lower graft rupture risk, and better return to sport but may cause anterior knee pain. Hamstring grafts have less donor site morbidity and lower risk of patellofemoral pain but slightly higher revision rates. Large registry studies indicate slightly higher revision risk with hamstring grafts, particularly in younger, active patients. Overall, both grafts have good outcomes, with BPTB considered the gold standard until more data emerges on quadriceps grafts.
Asset Caption
Cassandra A. Lee, M.D.
Keywords
ACL reconstruction
bone-patellar tendon-bone graft
hamstring autograft
graft rupture risk
female athletes ACL injuries
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