2021 ISAKOS Biennial Congress ePoster
ACL Reconstruction By Graft Link All-Inside Technique In Skeletal Immature Patients.
Horacio F. Rivarola-Etcheto, MD, Buenos Aires, Buenos Aires ARGENTINA
Cristian Collazo Blanchod, MD ARGENTINA
Marcos Meninato, MD, Caba, CABA ARGENTINA
Facundo Cosini, MD ARGENTINA
Juan Martín Carraro, MD, Concordia , Entre Ríos ARGENTINA
Carlos Mendoza Puello, MD, CABA, CABA ARGENTINA
Hospital Austral, Pilar, Buenos Aires, ARGENTINA
FDA Status Not Applicable
Summary
Surgical outcomes depend on the ability of the graft to reproduce the ACL restriction action and restore normal knee kinematics without damaging other structures that may compromise medium or long-term results.
ePosters will be available shortly before Congress
Abstract
Anterior cruciate ligament (ACL) injuries are an increasingly recognized problem in the juvenile population. Unfortunately, outcomes with conservative treatment are extremely poor. Adult reconstruction techniques are inappropriate to treat skeletally immature patients due to the risk of physeal complications, including limb-length discrepancy and angular deformities. “Physeal-sparing” reconstruction techniques exist, but their ability to restore knee stability is not well understood. We describe a combined epiphyseal ACL reconstruction for use in skeletally immature patients. This is an all-inside technique with the femoral tunnel drilled retrograde and the tibial tunnel drilled retrograde; both tunnels are entirely within the epiphysis. Fixation of the hamstring autograft is achieved with soft-tissue buttons on both femur and tibia. We present case examples of 2 patients who underwent all-inside, all-epiphyseal reconstruction and our postoperative rehabilitation protocol.
Key words: ACL reconstruction, adolescents, pediatric, all-inside, graft link, open physis.