2024 AOSSM Annual Meeting Recordings NON-CME-Concurrent Session B: Knee Kids on the Block—Get the Right Stuff for Pediatric ACL Injuries

Video Transcription

Video Summary

The session, titled "Neat Kids on the Block, Get the Right Stuff for Pediatric ACL," was focused on the latest research and techniques related to pediatric ACL injuries. It featured two paper presentations followed by four expert talks and concluded with a Q&A session.<br /><br />The first paper, presented by Ian Holier, discussed tibial spine fracture fixation strategies in pediatric knees. Holier emphasized that while suture fixation has generally been considered stronger than screw fixation in previous studies involving adults or porcine models, pediatric contexts present unique challenges. His recent study found that combining sutures with suture anchors significantly increased failure load compared to using screws or sutures tied over a bone bridge.<br /><br />The second paper by Dr. Sebastian Rilke examined five-year outcomes of ACL primary repair in 113 patients. His study found promising results particularly for patients aged 21 and older, with a low failure rate of 3.5%. However, the failure rate was significantly higher in younger patients, at 37%. He highlighted the need for further refinement and potential additional procedures to improve outcomes in younger patients.<br /><br />Expert talks covered various topics:<br />- Dr. Chang discussed the Bioenhanced ACL Repair (Bayer) procedure, its promising early results, and ongoing studies to confirm its efficacy across different age groups.<br />- Dr. Dan Green shared modifications for lateral extra-articular tenodesis (LET) in pediatric patients undergoing primary ACL reconstruction, noting excellent outcomes without growth disturbance.<br />- Dr. Kevin Shea detailed the technical aspects of tibial spine fracture fixation and the importance of measures to allow early motion, reducing the risk of arthrofibrosis.<br />- Dr. Jonathan Rebo presented the McKaylee Coker technique for prepubescent athletes, emphasizing its effectiveness and simplicity.<br /><br />The session ended with a discussion involving the panel and session audience, addressing practical concerns and different surgical approaches for pediatric ACL reconstruction. The discussion highlighted a range of techniques tailored to individual patient needs, balancing growth considerations with the demand for stable and durable ACL repairs.

Asset Caption

4:00 pm - 5:00 pm

Meta Tag

Concept Tibial Eminence Avulsion

Concept Arthrofibrosis

Concept Anterior Cruciate Ligament Repair

Concept ACL Reconstruction

Concept Bridge-Enhanced ACL Repair

Speaker John T. Lawrence, MD, PhD

Speaker Stephanie W. Mayer, MD

Speaker Ian Hollyer, MD

Speaker Sebastian S. Rilk, MD

Speaker Edward S. Chang, MD

Speaker Daniel Green, MD

Speaker Kevin G. Shea, MD

Speaker Jonathan Riboh, MD

Speaker Jay C. Albright, MD

Speaker Marc Tompkins, MD

Keywords

Pediatric ACL

Tibial spine fracture

Suture fixation

ACL primary repair

Bioenhanced ACL Repair

Lateral extra-articular tenodesis

McKaylee Coker technique

Arthrofibrosis

Growth disturbance

Surgical approaches

John T. Lawrence, MD, PhD

Stephanie W. Mayer, MD

Ian Hollyer, MD

Sebastian S. Rilk, MD

Edward S. Chang, MD

Daniel Green, MD

Kevin G. Shea, MD

Jonathan Riboh, MD

Jay C. Albright, MD

Marc Tompkins, MD

Tibial Eminence Avulsion