AOSSM Youth to the NFL Sports Medicine Course no CME-Young Football ACL

Video Transcription

Video Summary

In this video, the presenter discusses the treatment of ACL tears in skeletally immature patients. Traditionally, surgery was rarely performed in these patients, with the focus being on bracing, physical therapy, and waiting until skeletal maturity to perform a standard ACL reconstruction. However, studies have shown that delaying surgery can lead to high rates of meniscus tears and permanent joint damage. The presenter introduces the technique of IT band ACL reconstruction, which involves using the iliotibial band as a graft for the ACL. This technique was initially used as a temporizing procedure but has shown good long-term stability in patients. The presenter also discusses different techniques for ACL reconstruction in different age groups, including Ficat respecting ACL reconstruction in pubescent adolescents and standard ACL reconstruction in older adolescents. Randomized control trials comparing different graft options for skeletally mature adolescents are currently being conducted. Overall, the presenter emphasizes the increasing incidence of pediatric ACL tears and the need for appropriate treatment options in this population.

Asset Caption

Presented by Benton E. Heyworth MD

Keywords

ACL tears

skeletally immature patients

ACL reconstruction

IT band ACL reconstruction

treatment options