IC203

Surgical Techniques for ACL Reconstruction in Patients with Open Physes

Davide E. Bonasia MD; Annunziato Amendola MD; Frank A. Cordasco MD; Jonathan C. Riboh MD; Roberto Rossi MD; Stefano Zaffagnini MD

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. The focus will be on the following topics:             

• Indications
• 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
• Return to sport and risk of re-injury

Course 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.

• Davide E. Bonasia MD
• Annunziato Amendola MD
• Frank A. Cordasco MD, MS
• Jonathan C. Riboh MD
• Roberto Rossi MD
• Stefano Zaffagnini MD