ACL Surgery Update: Preventing Re-Tears with LET Procedure (Dr. Kristin Hopkins) | The Sports Medicine Research Rundown

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The Sports Medicine Research Rundown

Professional Seminars Ltd.

15 episodes

6 days ago

The Sports Medicine Research Rundown is a monthly podcast that dives deep into the latest research and clinical practices in sports medicine surgery and rehabilitation. Hosted by physical therapist Tim Tyler, each episode features an expert guest in the field who discusses a specific orthopedic surgery, pathology or treatment approach. The premise is to provide a comprehensive rundown covering the history and evolution of the procedure, current best practices, surgical techniques, rehabilitation protocols, and a look at future directions. Guests share their extensive knowledge and experience.

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ACL Surgery Update: Preventing Re-Tears with LET Procedure (Dr. Kristin Hopkins) | The Sports Medicine Research Rundown - Ep. 12

The Sports Medicine Research Rundown

35 minutes 29 seconds

5 months ago

ACL Surgery Update: Preventing Re-Tears with LET Procedure (Dr. Kristin Hopkins) | The Sports Medicine Research Rundown - Ep. 12

In this month's "Sports Medicine Research Rundown," we welcome Dr. Kristin Hopkins, Team Physician for Stony Brook University athletics. Dr. Hopkins, an acclaimed orthopedic surgeon, shares insights on cutting-edge ACL reconstruction techniques, specifically the Lateral Extra-Articular Tenodesis (LET) procedures. Learn why these "LEAPs" are becoming crucial for preventing re-tears in high-risk patients, especially adolescent athletes. We break down the science, discuss surgical considerations, and explore rehabilitation expectations.

Topics Covered:

0:03 – Welcoming Dr. Kristin Hopkins
1:08 – Introduction to ALL (Anterior Lateral Ligament) and LET (Lateral Extra-Articular Tenodesis) procedures
2:05 – The concept of LEAPs (Lateral Extra-Articular Procedures) and Segond Fracture
3:05 – LET technique using the IT band and its benefits over ALL
3:56 – Increasing commonality of LET procedures and differing surgeon approaches
6:21 – Indications for LET High-grade pivot shift, high-risk patients (re-tears, contralateral tears, hyperlaxity, adolescent athletes)
8:16 – Risks and considerations: Increased stiffness and initial pain
9:16 – Over-constraining and potential for arthritis (long-term unknown)
11:42 – ACL injury and arthritis predisposition
13:22 – Graft choices: Quad and BTB vs. Hamstring
13:34 – Evidence supporting LEAP effectiveness in preventing re-rupture
15:02 – Discussion of the article: "Impact of lateral extraarticular procedure augmentation on rerupture risk and tegner activity scale outcomes in adolescent ACL patients" by Muhammad Musa (AGSM, 2024)
17:53 – Rehabilitation protocols: Full extension, early weight-bearing, and prehab importance
20:54 – Study results: Significant decrease in re-ruptures with LEAP (18 vs. 3)
21:40 – No increased re-operations or arthrofibrosis with LEAP
22:02 – No difference in return to sport timelines or outcome scores
24:02 – Typical return to play around 8-9 months
24:25 – Bracing for the first season back
25:25 – Bracing for offensive linemen in football
26:59 – Study limitations: Omission of pre-operative rotational instability and lack of randomization
27:28 – Why LEAP isn't for everyone
28:00 – Hardware irritation: Use of all-suture anchors
28:26 – Will LEAP become standard for all comers?
28:59 – Case selection for LEAP: Young, high-level athletes in pivot/plant sports
30:16 – Anecdotal return to play outcomes with LEAP patients

Guest Bio:

Dr. Kristin Hopkins is a Team Physician for Stony Brook University athletics, specializing in contact sports like lacrosse and football. She is a sports medicine fellow graduate of the Nicholas Institute of Sports Medicine and Athletic Trauma.

Disclaimer:This podcast is for educational purposes only and is not a substitute for professional medical advice. Always consult with a qualified healthcare provider for any health concerns or before making any decisions related to your health or treatment.