New Considerations in ACL Surgery: When Is Anatomic Reconstruction Not Enough?

Written By Hayden Baker

Authors

Baker, Hayden P. MD; Bowen, Edward BA; Sheean, Andrew MD; Bedi, Asheesh MD

Journal

J Bone Joint Surg Am. 2023 Jul 5;105(13):1026-1035. doi: 10.2106/JBJS.22.01079. Epub 2023 May 19. PMID: 37205735.

Abstract

➤ Clinicians should be careful to assess for associated injuries including anterolateral complex and medial meniscal ramp lesions or lateral meniscal posterior root tears.

➤ Consideration of lateral extra-articular augmentation should be given for patients with >12° of posterior tibial slope.

➤ Patients with preoperative knee hyperextension (>5°) or other nonmodifiable risk factors, including high-risk osseous geometry, may benefit from a concomitant anterolateral augmentation procedure to improve rotational stability.

➤ Meniscal lesions should be addressed at the time of anterior cruciate ligament reconstruction with meniscal root or ramp repair.

Hayden Baker
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