2024 AANA/ISAKOS Specialty Day All-Access Pass-Debate Speaker #1: Hybrid Physeal Sparing Technique Will Give the Best Outcomes

Debate Speaker #1: Hybrid Physeal Sparing Technique Will Give the Best Outcomes

Video Transcription

Video Summary

Dr. Volker advocates for the "over-the-top" ACL reconstruction technique in young athletes, highlighting its femoral physis-sparing advantage. Developed in 1998, this method avoids femoral tunnel drilling by routing the graft over the lateral femoral condyle, reducing tunnel misplacement and revision risk. It uses hamstring or quadriceps grafts, preserves the tendon stump, and involves minimal incisions, resulting in faster surgery with less fluoroscopy. The technique is cost-effective, anatomically sound, and supported by outcome data. Volker emphasizes sustainability and efficiency in surgery, positioning over-the-top as a superior, safer option for pediatric ACL repair.

Asset Caption

Volker Musahl, M.D.

Keywords

over-the-top ACL reconstruction

femoral physis-sparing

young athletes ACL repair

hamstring quadriceps graft

minimally invasive ACL surgery