This course includes the recording of a live Instructional Course from the 2024 AOSSM Annual Meeting which took place in Denver, CO.

IC 207: Surgical Techniques for ACL Reconstruction in Patients with Open Physes

Course Description:

Pediatric ACL reconstruction is still a challenge for the orthopaedic surgeon. Many different surgical techniques have been developed with the goal of reducing physeal damage and re-rupture rates. In this case-based IC, a panel of European and US authors describe their indications for ACL reconstruction in the pediatric population and present a re-live surgery of their favorite surgical technique.

Learning Objectives:

• Learn the indications for ACL repair and reconstruction in the pediatric population.
• Learn different techniques to preserve growth plates or minimize physis damage.
• Learn the importance of return to sports and risk of re-injury in such a delicate population.

• ACL repair
• All epiphyseal ACL reconstruction
• Partial transphyseal (tibia) and over the top (femur) ACL reconstruction
• Kocher/Micheli technique
• All-epiphyseal over the top Marcacci/Zaffagnini technique
• Hybrid technique, All epiphyseal (tibia) and over the top (femur) ACL reconstruction
• Adult type reconstruction.
• Return to sport and risk of re-injury.

In addition, the paramount importance of return to sport timing and risk of re-injury will be discussed regarding pediatric ACL reconstruction.

Faculty:

• Davide E. Bonasia, MD
• Annunziato Amendola, MD
• Daniel Green, MD
• Jonathan C. Riboh, MD
• Federica Rosso, MD
• Stefano Zaffagnini, MD