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Bob's ACL WWWBoard
Re: Torn ACL in 8 year old Nephew
Posted By: Dayla Volkart
Date: Wednesday, 27 February 2008, at 11:24 a.m.
In Response To: Re: Torn ACL in 8 year old Nephew (drmark)
I agree with Dr. Mark. Go see Dr. Micheli at Boston Children's Hospital. It is my understanding, after several years of researching this exact situation for my son, that Dr. Micheli is the "guru" of acl reconstructions in adolescents. My son had the reconstructive technique using the iliotibial band that Dr. Micheli does, but ours was done by Dr. Kevin Latz at Children's Mercy in Kansas City. He learned the procedure while doing a fellowship under Dr. Micheli in Boston. My son is one year post-op and doing very well. I found out about the procedure through this message board. Since then, I've been in contact with several other families with similar situations. All the ones that I know who have used Dr. Micheli's technique are doing well. There's always a chance that the graft will stretch out over time, be retorn as a result of another injury, or just simply fail, but there are never any guarantee's, even with the adult reconstructive technique. I figured that even temporary stabilization of the knee would be desired over going any longer with an unstable knee, trying to restrict my son's activities, and risking further, more permanent damage.
Good luck!
> I have gotten some emails asking me to expand on my
> response. The traditional plan has been to take such a kid
> out of sports. This doesn't go over very well with anyone.
> The long term results of the kiddie ACL operation that uses
> expendable autogenous tissues, and doesn't drill through
> the growth plates has been available for several years. The
> principal proponent of this operaton is Dr. Michele of
> Boston.
> The even better news is that this nonanatomical repair
> appears to tolerate the test of time and having to convert
> this procedure to the ordinary adult procedure of your
> choice is only necessary in a few percent of cases. The
> recovery time is six months before sports can be resumed.
> Dr. Michele typically reccommends a sports brace afterward,
> but few of my patients have used it, and without ill
> effects.
> Now having done about 50 of these cases, I have have
> personal experience that it works well.
> Good luck to this little guy.
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