Description
In this informative presentation, Mark Sommerfeldt recounts a critical case involving an ACL tear he treated in a hockey player. He begins by sharing his background and initial approach, where he favored an all-inside bone tendon bone (BTB) technique, reflecting his previous training bias. During a follow-up appointment just two weeks post-surgery, Sommerfeldt encountered complications that raised alarm, including a lack of knee extension and concerning X-ray results showing an unusual bone plug displacement. He describes the urgency of arranging a CT scan, which revealed the bone plug was improperly wedged in the tunnel, leading to a re-evaluation of his technique. Sommerfeldt explains the mistakes made regarding graft management and tunnel alignment, particularly emphasizing the challenges faced during the procedure due to limited visibility and improper trajectories. Ultimately, the need for a lateral approach and additional interventions culminated in a significant learning experience for Sommerfeldt, demonstrating the complexities and unpredictability of surgical outcomes in orthopedics.
DOI: 10.1302/3114-240552