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- Talk
- 23/09/2021
- UK
Interactive Case Discussions - ACL Reconstruction
Description
This discussion revolves around the management of pediatric ACL injuries, led by Nick Nicolau. The panel includes experienced professionals: David Hollinghurst, Hywel Davies, and Chinmay Gupte, who delve into the complexities of treating ACL injuries in young athletes.
The first case focuses on a 15-year-old female footballer who sustained a mid-substance ACL rupture. After detailing her injury history, clinical findings, and MRI results, they debate whether to proceed with surgery immediately or delay it. Each panelist advocates for early surgical intervention, emphasizing the importance of maintaining knee stability and preventing further injuries.
In subsequent cases, the panel discusses a 14-year-old boy with meniscal damage and closed growth plates, and an 8-year-old child with a mid-substance ACL rupture facing greater challenges due to his young age and additional complexities like hypermobility and a history of ADHD. They consider a range of surgical options, including whether to perform a transphyseal or physeal-sparing technique and how to manage potential growth disturbances.
Throughout the discussion, the panelists also stress the role of psychological support, rehabilitation, and educating families about the risks and recovery process. They highlight the importance of collaborative decision-making and adapting treatment plans to each patient's unique circumstances.