IC 105-2023: Surgical Techniques for ACL Reconstruction in Patients with Open Physes-IC 105 - Surgical Techniques for ACL Reconstruction in Patients with Open Physes (3/6)

IC 105 - Surgical Techniques for ACL Reconstruction in Patients with Open Physes (3/6)

Video Transcription

Video Summary

The video transcript discusses a surgical technique for anterior cruciate ligament (ACL) reconstruction in young athletes. The speaker explains that the technique is safe and effective for prepubescent athletes, particularly boys under the age of 13. The procedure preserves major autograft sources, reduces re-rupture rates, and makes revisions easier due to the absence of holes in the bone. The technique involves harvesting a strip of the iliotibial (IT) band, using it as a graft, and attaching it to both the femur and tibia. The speaker demonstrates the step-by-step process for the surgery, including marking the incision points, harvesting the IT band, creating tunnels in the femur and tibia, passing the graft through the tunnels, and fixing it with screws or staples. The speaker also mentions variations of the technique, including lateral extra-articular tenodesis and the use of different graft materials such as BTB or quadriceps tendon. The speaker emphasizes the importance of graft size, proper positioning, and meticulous surgical technique for successful outcomes. The recommended post-operative rehabilitation protocol includes six weeks of toe-touch weight-bearing and the use of a brace, followed by criterion-based return to sports at a minimum of nine months after surgery.

Asset Caption

Jonathan Riboh, MD

Keywords

surgical technique

anterior cruciate ligament reconstruction

young athletes

prepubescent athletes

iliotibial band graft

screws or staples fixation