ACL Reconstruction

Description

This video transcript documents a detailed surgical procedure performed by Dr. Samuel Taylor, a Sports Medicine Surgeon at the Hospital for Special Surgery, concerning a 29-year-old woman with a knee injury resulting from skiing, specifically an isolated anterior cruciate ligament (ACL) tear.



Throughout the surgical procedure, Dr. Taylor meticulously explains the examination process under anesthesia, including the Lachman and pivot shift tests to assess knee stability and identify the extent of the injury. He addresses the surgical approach using a bone-tendon-bone (BTB) patellar tendon graft to reconstruct the ACL. Emphasis is placed on graft preparation, surgical techniques, and the assessment of various structures within the knee joint, including both menisci.



Dr. Taylor describes the use of specific tools, the importance of proper incisions for graft access, and techniques to avoid potential complications such as graft tunnel mismatch or postoperative lesions. He also highlights the significance of preserving native tissue to facilitate effective healing post-surgery. The transcript captures a complex procedure with numerous technical nuances, valuable not only for medical professionals but also for patients seeking to understand ACL reconstruction surgery.

Specialties