Optimizing ACL Reconstruction in 2022: A Case-Based Approach (AANA22)-Optimizing ACL Reconstruction_ BTB

Optimizing ACL Reconstruction_ BTB_Hamstring are the Gold Standard

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