Scope Essentials 2024-When do I consider a primary ACL repair, and how do I do it

When do I consider a primary ACL repair, and how do I do it_

Video Transcription

Video Summary

Dr. Ashley Bassett discusses modern ACL repair versus reconstruction, highlighting historical and current techniques. Early ACL repairs had high failure rates, leading to reconstruction becoming standard. However, reconstruction uses grafts that lack the complexity and proprioception of the native ACL, potentially affecting knee biomechanics and increasing osteoarthritis risk. New repairs use a bovine collagen scaffold and internal brace to facilitate healing by protecting the clot and bridging torn ends. Outcomes show repair rivals reconstruction in stability and recovery, with benefits like better hamstring strength and easier revision surgery. She recommends repair mainly for proximal tears within six weeks, good tissue quality, patients over 18, and normal alignment, detailing her surgical technique and rehab protocol.

Asset Caption

Ashley Bassett, M.D.

Keywords

ACL repair

ACL reconstruction

bovine collagen scaffold

knee biomechanics

proximal ACL tears