IC 305-2022: Surgical Techniques for ACL Reconstruction in Patients with Open Physes-Surgical Techniques for ACL Reconstruction in Patients with Open Physes (2/8)

Surgical Techniques for ACL Reconstruction in Patients with Open Physes (2/8)

Video Transcription

Video Summary

In this video, the speaker discusses a modified technique for a specific type of surgery. The speaker explains that instead of drilling a full transphysiol tunnel on the tibia, they use a 4.5 transphysiol and then retro drill in the epiphysis, creating an all epiphyseal tunnel. They also add a modified Arnold-Cocker lateral tenodesis on the lateral side. The surgical technique involves harvesting hamstrings and preparing them in a six-strand fashion. The speaker demonstrates the steps involved in the procedure, including sizing and pre-tensioning the graft, and performing the tibial and femoral fixations. The speaker also provides surgical tips and pitfalls to be mindful of. After the surgery, patients are allowed to weight bear as tolerated, no brace is required for compliant patients, and the return to sports is not recommended before one year. The video concludes with a recommended reading list.

Asset Caption

Davide Bonasia, MD

Keywords

surgery technique

modified technique

transphysiol tunnel

epiphyseal tunnel

Arnold-Cocker lateral tenodesis