Confession Session: The Dreaded Femoral Tunnel Screw

Description

In a detailed instructional segment, Michaela Kopka discusses techniques and considerations for using screws in bone-tendon-bone (BTB) ACL reconstruction surgery. She emphasizes the importance of ensuring good visibility during the procedure, suggesting the use of hyperflexion and increased pump pressure to better visualize the surgical site. Michaela shares her preference for smaller bone blocks and the need to adapt screw sizes according to knee dimensions, mentioning her practice of using dilators to help compress bone rather than removing it. She also introduces protective screw sleeves to safeguard the graft while inserting screws, ensuring that proper tension is applied to mitigate damage to the graft fibers. Further, she stresses maintaining the same angle of insertion as the original tunnel and the increasing use of metal screws for added stability during the procedure. Overall, Michaela aims to optimize outcomes in ACL surgery by integrating practical tips into surgical practice.

DOI: 10.1302/3114-240549

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