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

Video Transcription

Video Summary

The "Neat Kids on the Block: Get the Right Stuff for Pediatric ACL" session featured presentations on various strategies and research surrounding pediatric ACL injuries and treatments. The session was divided into different segments, each focusing on specific aspects of pediatric ACL care.<br /><br />The first presentation by Ian Holier discussed the fixation strategies for displaced tibial spine avulsion fractures in pediatric cadaveric knees. He highlighted the comparative strength of suture fixation versus screw fixation and introduced the addition of suture anchors to potentially improve fixation strength. His study concluded that suture plus anchor fixation was significantly stronger compared to screws or sutures tied over a bone bridge.<br /><br />Sebastian Rilke presented findings on ACL primary repair outcomes. His study followed 113 patients and found notable differences in failure rates based on age: higher failure rates in skeletally immature patients under 21 and significantly lower failure rates in those over 21. This critical age-based analysis suggested that age should be a key consideration in ACL repair strategies.<br /><br />Other expert talks included Dr. Chang discussing the Bayer procedure, an innovative ACL repair method involving a collagen implant that demonstrated promising results but highlighted an increased risk of failure in younger patients. Dr. Dan Green discussed the Lateral Extra-Articular Tenodesis (LET) technique in pediatric patients, emphasizing its benefits in certain high-risk groups.<br /><br />The session concluded with a panel discussion on practical applications and considerations for different surgical techniques. Discussions revolved around the appropriateness of various graft choices and additional lateral reinforcement for diverse age groups in pediatric ACL reconstructions, weighing benefits and potential complications for each approach.

Asset Caption

4:00 pm - 5:00 pm

Meta Tag

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

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

pediatric ACL

tibial spine avulsion

suture fixation

screw fixation

suture anchors

ACL primary repair

age-based analysis

Bayer procedure

Lateral Extra-Articular Tenodesis

graft choices