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A new surgical technique for ACL Reconstruction
- The TransLateral Technique

Mr Wilson has developed a new surgical technique for carrying out anterior cruciate ligament (ACL) surgery. He has done this in conjunction with Arthrex, which is one of the leading companies that supply and design knee surgery key hole equipment.

Mr Wilson has developed a new surgical technique for carrying out anterior cruciate ligament (ACL) surgery. He has done this in conjunction with Arthrex, which is one of the leading companies that supply and design knee surgery key hole equipment.

 

The current technique for ACL surgery done worldwide is carried out in such a way that the surgeon has a relatively poor view of the inside of the knee. This makes it difficult to place the new ligament in the ideal position (ie. where the ligament sits normally). The TransLateral technique changes the way the surgeon views the inside of the knee. The surgeon obtains excellent visualisation of the anatomy and the new instruments makes anatomical positioning of the graft far more reproducible.


With traditional techniques ACL surgery  the ligament is placed in a non anatomical position. The operation works well in terms of functional outcome but a significant number of patients go on to develop osteoarthritis. This is partly due to the injury itself which causes bruising and damage to the joint surface. Other soft tissue structures are often damaged at the time of the initial injury such as the meniscal shock absorbers. Any further instability and giving way also causes more damage to the menisci and joint surface and again contribute to early onset osteoarthritis.In addition to the above,  there is no question that non anatomic placement of the graft changes the way the knee moves ( changes normal knee kinematics) and this also leads to early onset osteoarthritis. Because of this, over the last few years, surgeons have developed new ways of doing this operation.


This new approach is called Anatomic or Foot Print ACL surgery. This type of surgery is difficult to carry out even in experienced hands and is only offered by a small number of specialist knee surgeons. With the new TransLateral technique anatomic ACL reconstruction has become much more straight forward. Mr Wilson has spent time working with the engineers at Arthrex and has designed a new set of novel instruments that together with the new technique have transformed this procedure. These instruments are now commercially available to other surgeons.


Mr Wilson has been invited to present his new technique  at a series of key orthopaedic meetings in 2011, starting in February at the German Arthroscopic Association meeting in Garmisch-Partenkirchen. Here, he presented the Trans-Lateral technique with a live surgical demonstration and also with a hands on workshop with the delegates.

 

Mr Wilson then went on to present this work at the

 

  • French Arthroscopy Society, SFA December 2011

 

  • Faculty Forum Sports Surgery Meeting, Florida January 2012
 
  • Midlands Knee & Shoulder controversy meeting May 2012
midlandskneeandshoulder.org/knee-timetable.html

 

  • Dutch Knee society - April 2012

 

  • Danish Knee Society - October 2012

 

  • British Knee society - April 2012

 

  • ESSKA meeting in Geneva, May 2012

http://www.esska-congress.org/esska2012/congress/

 

  • The World Sports Trauma Congress, London Oct 2012 -

http://www.wstc2012.com/Scientific-Programme.aspx

 

 

Live Surgery

Mr Wilson has carried out  live demonstrations of his TransLateral All Inside Technique at a number of key meetings including

 

  • ArthroLondon - Excel conference centre , September 2012

4th International Symposium on surgical and biological Treatments In orthopaedics

Mr Wilson demonstrated the technique at the ArthroLondon meeting held at the Excel conference centre. 2000 orthopaedic specialist surgeons attended from around the globe for the meeting. To see the presentation and demo please go to :

 

http://www.arthrolondon.com/Programme/SportsMedicineAndOrthopaedics.aspx?day=friday

 

 

  • Knee Shoulder Live surgery Course Hannover , November 2012

 

Mr Wilson carried out a live demonstration to over 300 orthopaedic surgeons in Hannover at Professor Philip Lobenhoffer's live surgical course in November.

 

 

  • Leuven, Belgium , November 2012

He then went on to the university of Leuven where he carried out his procedure as part of a live surgical course for Belgium surgeons.

 

Newspaper Coverage

The Mail on sunday featured an an article on one of Mr Wilson's patients in late 2012 explaining the benefits of the minimally invasive procedure.

Please go to http://www.dailymail.co.uk/health/article-2224075/Back-saddle--thanks-origami-knee-op.html

 

Benefits Of The All Inside ACL procedure - The TransLateral Technique

 

  • Sockets are made as opposed to tunnels - so this procedure is bone preserving
  • Less soft tissue is removed to make the new ligament - this preserves strength
  • Fixation is with little buttons as opposed to large screws

 

It is Mr Wilson's belief and that of the team at Arthrex, that this new technique will become the standard way that ACL reconstruction surgery is carried out and it will enable this commonly done operation to be more accurate and reproducible. This will be a very positive step for both patients and other surgeons who carry out this common operation.

 

The TransLateral Instruments

These include:

 

  • a special key hole ruler that allows the surgeon to measure and mark where the correct position is to drill the socket for the new ligament.
  • A new Radiofrequency soft tissue cleaning device called the CaliBlator
  • A specially designed aiming device for the drilling system

 


Trans-lateral ACL Reconstruction - Scientific Paper

Mr Wilson preparing for knee surgery

Mr Wilson preparing for knee surgery

Key-hole  knee surgery

Key-hole knee surgery

Anterior cruciate ligament reconstruction

Anterior cruciate ligament reconstruction

Setting up for knee surgery

Setting up for knee surgery

Mr Wilson and team performing surgery

Mr Wilson and team performing surgery

Live knee surgery being filmed

Live knee surgery being filmed

Filming a live surgery with Mr Wilson and team

Filming a live surgery with Mr Wilson and team