IC 305-2022: Surgical Techniques for ACL Reconstruction in Patients with Open Physes-Surgical Techniques for ACL Reconstruction in Patients with Open Physes (3/8)

Surgical Techniques for ACL Reconstruction in Patients with Open Physes (3/8)

Video Transcription

Video Summary

The speaker, Dr. Dan Green, discusses the technique of all-epiphyseal ACL reconstruction in pediatric patients. He explains that this approach was developed in response to the limitations of previous techniques like over-the-top and modified McIntosh. The all-epiphyseal technique involves using sockets in the epiphysis rather than tunnels, which avoids damaging the growth plate. Dr. Green discusses the surgical steps and considerations for this technique, including graft selection, socket preparation, and suture management. He also shares outcomes and findings from studies on all-epiphyseal ACL reconstruction, highlighting its low revision rate compared to other techniques. However, he acknowledges that this technique is technically demanding and carries a risk of growth disturbance. Dr. Green concludes by noting that more research is needed, and he mentions ongoing studies to further evaluate and compare different ACL reconstruction techniques in pediatric patients. Overall, the video provides a comprehensive overview of the all-epiphyseal ACL reconstruction technique and its implications.

Asset Caption

Daniel Green, MD

Keywords

all-epiphyseal ACL reconstruction

pediatric patients

sockets in the epiphysis

graft selection

suture management