2023 Annual Meeting Knee Access Pass-Skeletally Immature ACL Injury: My Algorithm and Techniques for Management

Skeletally Immature ACL Injury: My Algorithm and Techniques for Management

Video Transcription

Video Summary

The speaker discusses pediatric ACL treatment options: non-operative, selective, and surgical. Non-operative treatment often leads to instability and meniscus tears, especially if surgery is delayed. Non-operative is sometimes used for partial tears without instability. Surgery should not be delayed based on chronological age but guided by skeletal maturity assessed via left-hand x-rays, knee MRI, and growth plates. Surgical techniques vary by maturity: no-tunnel or epiphyseal for younger patients, transphyseal for near-mature children. Complications are low if physes are respected. Graft choice favors soft tissue, avoiding allografts due to high re-tear rates. Lateral extra-articular tenodesis reduces re-tear in high-risk cases.

Asset Caption

Shital N. Parikh, M.D.

Keywords

pediatric ACL treatment

non-operative vs surgical

skeletal maturity assessment

surgical techniques by age

ACL graft choice