IC 305-2022: Surgical Techniques for ACL Reconstruction in Patients with Open Physes-Surgical Techniques for ACL Reconstruction in Patients with Open Physes (4/8)

Surgical Techniques for ACL Reconstruction in Patients with Open Physes (4/8)

Video Transcription

Video Summary

The video discusses ACL repair in pediatric patients, particularly prepubescent individuals, as a minimally invasive procedure to stabilize the knee. The speaker mentions that ACL repair can be indicated in cases of proximal avulsion of the ACL with a distal remnant of more than 90%. The surgical technique involves arming the ACL stamp with two sutures, drilling tunnels in the femur and tibia, and using passing sutures to retrieve the ACL stamp arming sutures. The procedure also includes extracortical fixation with tape augmentation. Postoperatively, weight-bearing is allowed as tolerated, and range of motion exercises are started after four weeks. The speaker mentions that over-tensioning the tape should be avoided. The video concludes with a discussion on using internal brace type constructs in young patients, with the speaker expressing minimal concerns if the construct is not over-tightened.

Asset Caption

Davide Bonasia, MD

Keywords

ACL repair

pediatric patients

minimally invasive procedure

surgical technique

postoperative care