demographics. Orthop J … ~400,000 ACL reconstructions / year. treatment involves ligamentous reconstruction utilizing a variety of techniques and graft choices. Transphyseal anterior cruciate ligament reconstruction in the skeletally immature: follow-up to a minimum of sixteen years of age. plane on the undersurface of the graft is carried prox-imally 4 to 5 cm, or as far as possible based on incision length. Meniscal tearing was found in 65.3% of the patients. Meniscal tearing was found in 65.3% of the patients. Partial Transphyseal Anterior Cruciate Ligament Reconstruction: Clinical, Functional, and Radiographic Outcomes. Transphyseal anterior cruciate ligament reconstruction using the hybrid transtibial technique with quadriceps tendon autograft in the right knee of a 14-year-old athlete. The right side of the video is medial; arthroscopic views are shown from the anterolateral and anteromedial portals. Anterior cruciate ligament (ACL) rupture is one of the most common knee injuries, with incidences of injury and reconstruction that continue to rise, particularly in the pediatric population. Transphyseal ACL reconstruction was performed in 26 patients with open tibial and femoral physes (physis >2 mm) by use of autogenous quadrupled hamstrings as grafts. This CORR Insights ® is a commentary on the article “High Satisfaction Yet Decreased Activity 4 Years After Transphyseal ACL Reconstruction” by Schmale and colleagues available at: DOI: 10.1007/s11999-014-3561-6.. METHODS: Transphyseal ACL reconstruction was performed in 26 patients with open tibial and femoral physes (physis >2 mm) by use of autogenous quadrupled hamstrings as grafts. Published: 09 January 2008. account for half of all knee injuries. London, ON. Epidemiology. Pennock AT, Johnson KP, Turk RD, Bastrom TP, Chambers HG, Boutelle KE, Edmonds EW. TRANSPHYSEAL ACL RECONSTRUCTION e1123. Debra Bartley, M.D., FRCSC. cruciate ligament.) Background: It is unclear what the optimal graft choice is for performing anterior cruciate ligament (ACL) reconstruction in a skeletally immature patient. Author information: (1)Department of Orthopaedics, St. Mary's Hospital, London, United Kingdom. Purpose: To evaluate outcomes and complications of skeletally immature patients undergoing transphyseal ACL reconstruction with a hamstring tendon autograft versus a quadriceps tendon autograft. If possible, a partial-thickness graft should be harvested, although in smaller patients, a full-thickness. more common among female athlete (4.5:1 ratio) females sustain ACL injuries at a younger age than males. Transphyseal Anterior Cruciate Ligament Reconstruction in the Skeletally Immature: Quadriceps Tendon Autograft Versus Hamstring Tendon Autograft. incidence. ACL Tears in Children: Transphyseal Reconstruction. The adolescent with an anterior cruciate ligament (ACL) injury approaching skeletal maturity presents little controversy among surgeons. Kumar S(1), Ahearne D, Hunt DM. Transphyseal anterior cruciate ligament reconstruction in patients with open physes: 10-year follow-up study Dekker et al 2017 Return to sport after pediatric anterior cruciate ligament reconstruction and its effect on subsequent anterior cruciate ligament injury Falciglia et al 2016 Anterior cruciate ligament reconstruction in adolescents Author information: (1)Department of Orthopaedic Surgery, University of … Chambers CC(1), Monroe EJ(2), Allen CR(3), Pandya NK(3).
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