CME expires June 30, 2027
Go beyond traditional learning with a 360° perspective on orthopedic topics.
Each ICL360 is a cutting-edge CME course designed to provide a holistic learning experience, featuring curated video content sourced from expert-selected Instructional Course Lectures enhanced with insightful commentary and comprehensive assessment questions. This all-encompassing course goes beyond traditional learning by offering a complete 360° perspective on orthopedic topics. Explore additional resources, including full-text readings from the Journal of the American Academy of Orthopaedic Surgeons (JAAOS), technique videos from Orthopaedic Video Theater (OVT), and links to external literature and PubMed. Elevate your clinical decision-making skills and gain a well-rounded understanding of essential orthopedic concepts with ICL360.
This Instructional Course Lecture (ICL) reviews the management of intraoperative complications during anterior cruciate ligament (ACL) reconstruction.
Editor
Robert August Gallo, MD, MHA, FAAOS
Learning Objectives
Analyze the causes of graft failure after ACL reconstruction, and apply techniques to prevent technical errors during graft harvest, tunnel creation, and graft fixation.
Evaluate and select appropriate surgical techniques to correct bone- and graft-tunnel mismatch during ACL reconstruction, considering intraoperative adjustments based on preoperative measurements.
Implement strategies to manage and minimize the risk of patellar fracture after ACL reconstruction with the use of patellar tendon or quadriceps tendon autograft.
Execute advanced graft fixation methods to optimize the biomechanical stability of ACL reconstruction, focusing on minimizing the risk of inadequate graft fixation and maximizing graft incorporation.
Identify and manage complications related to hamstring tendon harvest, such as inadequate graft size and saphenous nerve injury, applying best practices and planning for alternative graft sources.
Diagnose and rectify tunnel malpositioning during ACL reconstruction, using anatomic landmarks and contemporary drilling techniques to ensure optimal placement.
Apply enhanced intraoperative protocols to mitigate the risk of graft contamination and subsequent infection, emphasizing aseptic handling and potential antibiotic treatment.
Apply comprehensive approaches for graft tensioning and securing during ACL reconstruction to avoid complications related to improper graft tensioning and to ensure joint stability.
Earn up to 5 AMA PRA Category 1 CME credits™.