In this Virtual Fellowship, Jorge Chahla shares his complete approach to bone-patellar tendon-bone (BTB) ACL reconstruction, covering graft harvest, tunnel positioning, fixation strategies, patient selection, rehabilitation protocols and practice organisation. Drawing on a high-volume sports medicine experience of approximately 300 ACL reconstructions per year, he explains how technical precision and workflow optimisation contribute to consistent outcomes.
Key Takeaways
- BTB autografts can deliver reliable ACL stability when graft harvest, tunnel positioning and fixation are performed with meticulous attention to detail.
- Full knee extension before surgery is one of the most important prerequisites for successful ACL reconstruction.
- Early restoration of extension after surgery is the primary rehabilitation goal and helps prevent postoperative stiffness.
- Structured teams, standardised pathways and patient education are key drivers of efficiency and patient outcomes in high-volume sports medicine practices.
Read more about Jorge Chahla's technique
How does Jorge Chahla perform BTB Autograft ACL reconstruction?
Jorge Chahla demonstrates a single-incision BTB harvest technique designed to minimise donor-site morbidity while preserving graft quality. Key principles include precise incision placement, meticulous paratenon handling, anatomical tunnel positioning and bone grafting of the patellar harvest site. Throughout the procedure, he emphasises direct visualisation, reproducible landmarks and efficient execution.
Matthieu Ollivier is currently a Professor of Orthopaedic Surgery at the Institute of Movement and Locomotion (Chairman: Pr Jean-Noel Argenson) at Aix-Marseille University Hospital, in Marseille, France. His clinical practice is dedicated to knee-related procedures, with a special focus on sports injuries (cartilage, meniscus, ligaments) and osteotomies. He is engaged in an academic field at Aix-Marseille University, teaching medical students, interns, orthopedic residents and fellows.
You must be logged in or create an account to see all the content
I have my account
Not registered yet? Create your account and get free access to:
- Access slide presentations from PCO Course
- Watch session videos and cases
- Discuss cases with your peers
- Register for and view PCO Webinars
- Read a selection of articles
- And more…