AANA19 Knee Access Pass-Questions and Answers_ Symposium_ Pediatric ACL-Dr. Todd Lawrence, M.D.

Questions and Answers_ Symposium_ Pediatric ACL-Dr. Todd Lawrence, M.D.

Video Transcription

Video Summary

The panel discussed ACL repair and reconstruction in pediatric patients, emphasizing challenges like graft size, tunnel placement, and growth considerations. Repair shows promise, especially in skeletally immature children, potentially reducing complications linked to traditional drilling. Hamstring and quadriceps tendons are common grafts, with sizing tailored to the child's anatomy. Concerns include graft-tunnel mismatch and fixation methods. Valgus alignment in young patients may require combined procedures. While some advocate repair as a less invasive alternative, it remains experimental, needing longer-term data. The consensus is that repair could revolutionize pediatric ACL treatment pending further evidence.

Keywords

Pediatric ACL repair

Graft size challenges

Skeletally immature patients

Hamstring and quadriceps grafts

Valgus alignment procedures