2023 Annual Meeting Knee Access Pass-Opinion: Hybrid and All-Epiphyseal Technique for ACL Reconstruction

Opinion: Hybrid and All-Epiphyseal Technique for ACL Reconstruction

Video Transcription

Video Summary

Dr. Frank Cordasco discusses ACL tear management in pediatric patients, emphasizing treatment based on skeletal age. For children with significant growth remaining, the modified MacIntosh procedure is used, while all-epiphyseal (AE) reconstruction suits middle growth stages, and transphyseal methods apply to near-mature adolescents. AE techniques, especially with 3D intraoperative imaging, minimize growth disturbances and show superior outcomes and lower revision rates compared to hamstring grafts. Modified MacIntosh has a higher risk of thigh asymmetry and revisions but remains necessary for the youngest children. Overall, AE reconstruction yields outcomes comparable to adult procedures, offering a reliable option for skeletally immature patients.

Asset Caption

Frank A. Cordasco, M.D.

Keywords

ACL tear

pediatric patients

skeletal age

all-epiphyseal reconstruction

modified MacIntosh procedure