Anterior Cruciate Ligament Reconstruction in Skeletally Immature Patients: Early Results Using a Hybrid Physeal-Sparing Technique

Orthopaedic Journal of Sports Medicine
Robert G WillsonCarl W Nissen

Abstract

Reconstruction of the anterior cruciate ligament (ACL) in the skeletally immature patient is frequently performed in hopes of preventing new or additional chondral damage and meniscal injuries. Patients within a few years of skeletal maturity are more at risk for ACL injuries than prepubescent patients, about whom several physeal-sparing techniques have been described. Reconstruction techniques in the former higher risk group need to be better understood. To review a series of adolescent patients with ACL injuries surgically treated with the hybrid physeal-sparing technique. Case series; Level of evidence, 4. Surgical logs of ACL reconstructions (ACLRs) performed at a single pediatric/adolescent sports medicine center over a 6-year period were reviewed. Patients with open physes who had undergone ACLR with a femoral physeal-sparing tunnel and transphyseal tibial tunnel were identified. Their demographics, operative reports, rehabilitative course, time to return to play, outcome scores, and postoperative radiographs were collected and analyzed. Twenty-three patients with a mean chronological age and bone age of 13.0 and 13.6 years, respectively, were identified. Examination and subjective outcome scores were obtained at a mean o...Continue Reading

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Citations

Apr 18, 2019·The American Journal of Sports Medicine·Caitlin C ChambersNirav K Pandya
Nov 6, 2018·Sports Medicine and Arthroscopy Review·Sheeba M JosephJ Lee Pace
Aug 23, 2019·Orthopaedic Journal of Sports Medicine·Mette K ZebisTine Alkjær
May 16, 2018·Frontiers in Surgery·Dustin Jon RichterXue-Cheng Liu
Feb 4, 2021·Arthroscopy Techniques·Juan Ignacio ErquiciaJuan Carlos Monllau
Jun 23, 2021·The Journal of Bone and Joint Surgery. American Volume·David A KolinR Justin Mistovich

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