ACL Repair: Anterolateral Ligament
Dr. Chrstopher Wahl, MD
It was great to have one of our favorite Knee and ACL surgeons OPAs Dr. Christopher Wahl, MD onto our webinar. Dr. Wahl has an amazing background as an athlete, San Diego Chargers Team physician, University of Washington Team Doctor and lecturer.
Covered in the ACL Webinar
What is the history of the ACL repair?
What is the preferred repair technique?
Hamstring vs Bone to Bone
What does the research say?
Does Your ACL choice really matter?
BTB reconstructions study reviewed
HS graft study graft studied
What is ACL exposure?
ACL exposure does matter and play into our discussion with clients and what they want to return to.
What is a Quad-tendon graft of choice
What is the Quad-Tendon graft back into favor again?
What does the research say about quad-tendon grafts?
What do physicians consider a failed ACL?
A re-tear is a failure
Why do some patients function well without ACL?
How can we decrease the ACL re-injury rate in younger and more active patients?
Hoe does your rehabilitation and PT include Neuromuscular training
What are the anatomical Differences in Men and Women in ACL graft Consideration\
Results: all females tibial plateaus were smaller creating increased risk
Males 50/50 whether they have small or larger tibial plateau
What are the treatment factors we can control
Know your client and the suitable surgical techniques
Anterolateral Ligament
What is the Anterolateral Ligament Repair?
Segond Fractures (small fleck off the lateral tibial plateau)
What was attached was the Anterolateral Ligament of the knee?
How much rotation does the ALL limit rotation of the knee?
“Maybe to the people with ATLL that rotational instability created a problem”
Lateral Extra Articular Tenodesis (LET)
Trying to stop the rotation with the lateral band
What happens when there is no ACL repair just the lateral stabilizing surgery
How did Slocum and Larson report on rotational stability of the knee
What is the Gross instability after ACL procedure
The research tells a story about ITB tunnel vs no tunnel