IC 305  

Title: 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 to 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.

Described techniques include:

• ACL repair.
• All epiphyseal ACL reconstruction.
• Partial transphyseal (tibia) and over the top (femur) ACL reconstruction
• Kocker/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. In addition, the paramount importance of return to sport timing and risk of re-injury will be discussed regarding pediatric ACL reconstruction.

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.                                             

Faculty:

Davide E. Bonasia, MD  

Annunziato (Ned) Amendola, MD           

Daniel W. Green, MD

Jonathan C. Riboh, MD 

Roberto Rossi, MD         

Stefano Zaffagnini, MD