AOSSM 2022 Annual Meeting Recordings - no CME-ACL Decision Making for the Skeletally Immature

Video Transcription

Video Summary

In this 10-minute video, the speaker discusses the considerations and techniques for ACL reconstruction in pediatric patients. They highlight the fear of open physis and growth disturbances associated with ACL reconstruction. They mention a study that found growth disturbances resulting from rigid fixation across the physis and the use of screws, staples, pins, or bone. The speaker emphasizes the importance of surgical treatment due to the higher risk of secondary meniscal injuries and knee instability in pediatric patients. They discuss different techniques based on skeletal age and remaining growth. The speaker also touches on graft choice, recommending autografts and cautioning against allografts. They mention the increasing use of quad grafts and the potential benefit of lateral extra-articular procedures. The speaker concludes by sharing their own treatment algorithm based on bone age and remaining growth. No credits are provided.

Asset Caption

Crystal Perkins, MD

Keywords

ACL reconstruction

pediatric patients

open physis

growth disturbances

surgical treatment