AOSSM 2022 Annual Meeting Recordings - no CME-Q & A: Pediatrics and the Adolescent Athlete I

Video Transcription

Video Summary

In this video, the speaker addresses different questions related to medical topics. The first question is about the type of graft used for skeletally immature patients in ACL reconstruction. The speaker explains that bone quad tendon and hamstring grafts are used, while IT band grafts are excluded. The selection of grafts is based on the consensus between the surgeon, family, and patient's desires, rather than the sport they are going back to. The second question is about the clinical application of Schottles point in knee radiographs. The speaker suggests trusting the findings of the study, which show a tangency point to the physis on the medial cortex, indicating that the medial physis is further proximal than Schottles point. The speaker also mentions the importance of adjusting for cases where there is a small distance to the physis. Another question is about the return to sport rates by graft type, particularly the lower rate for hamstring grafts in this study compared to adult literature. The speaker attributes this difference to hamstring weakness and the goal of having an LSI of 90%. Also discussed are fixation for tibial spine fractures, the routine capsular management, and key findings of patients who had revision surgery.

Asset Caption

Joseph Featherall, MD; Shannon McGurty, BS; Philip Serbin, MD; Brendan Shi, MD

Keywords

graft selection

ACL reconstruction

Schottles point

knee radiographs

return to sport rates