AANA19 Knee Access Pass-All Epiphyseal Reconstruction-Dr. Theodore J. Ganley, M.D.

All Epiphyseal Reconstruction-Dr. Theodore J. Ganley, M.D.

Video Transcription

Video Summary

This talk addresses ACL tears in skeletally immature pediatric patients, focusing on all-epiphyseal ACL reconstruction techniques designed to avoid growth plate damage. The speaker reviews a case of a 9-year-old with ACL deficiency, emphasizing risks of delaying surgery, such as meniscal and cartilage damage. Surgical approaches use specialized drilling angles and fixation methods to protect growth plates, with intraoperative 3D CT used to confirm tunnel placement. Dedicated surgical teams improve outcomes by reducing complications like instability and infection. Rehab involves targeted training and realistic return-to-sport expectations. The speaker highlights supporting literature and stresses balancing surgical risks against risks of delayed treatment.

Keywords

Pediatric ACL tears

All-epiphyseal ACL reconstruction

Growth plate preservation

Intraoperative 3D CT

Pediatric sports rehabilitation