Mininder S. Kocher, MD
In this second JBJS/VJO video supplement to his article, Dr. Mininder Kocher of Boston Children's Hospital discusses ACL reconstruction issues in the adolescent patient, specifically Tanner 3 with substantial growth remaining. The surgical procedure presented involves a transphyseal autograph reconstruction with the hamstrings, femoral fixation utilizing an endobutton and tibial fixation with an interference screw. Both femoral and tibial fixation points are kept away from the growth plates. This physeal sparing reconstruction provides excellent outcomes with a low revision rate and minimal risk of growth disturbance.
Material Covered
- Indications
- Contraindications
- Patient/Parent Counseling
- Surgical Pearls
- Graft Harvest & Preparation
- Postoperative Protocol
- Avoiding Complications
See the Corresponding JBJS Article:
- Mininder S. Kocher, Sumeet Garg, and Lyle J. Micheli
- Physeal Sparing Reconstruction of the Anterior Cruciate Ligament in Skeletally Immature Prepubescent Children and Adolescents
J. Bone Joint Surg. Am., Nov 2005; 87: 2371 – 2379 [Article]
- Mininder S. Kocher, Sumeet Garg, and Lyle J. Micheli
- Physeal Sparing Reconstruction of the Anterior Cruciate Ligament in Skeletally Immature Prepubescent Children and Adolescents. Surgical Technique
J Bone Joint Surg Am. 2006;88(Supp 1):283-293. [Article]
Specifications
- Total Run Time: 24:19 minutes
- Catalog Number: 5096
- VJO Publication Date: June, 2006