All-Inside Partial Epiphyseal Anterior Cruciate Ligament Reconstruction Plus an Associated Modified Lemaire Procedure Sutured to the Femoral Button.
| Autor: | Leyes-Vence M; Clínica CEMTRO, Madrid, Spain.; Department of Orthopaedics and Traumatology, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México., Roca-Sanchez T; Clínica CEMTRO, Madrid, Spain.; Department of Orthopaedics and Traumatology, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México., Flores-Lozano C; Clínica CEMTRO, Madrid, Spain.; Department of Orthopaedics and Traumatology, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México., Villarreal-Villareal G; Clínica CEMTRO, Madrid, Spain.; Department of Orthopaedics and Traumatology, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México. |
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| Jazyk: | angličtina |
| Zdroj: | Arthroscopy techniques [Arthrosc Tech] 2019 Apr 17; Vol. 8 (5), pp. e473-e480. Date of Electronic Publication: 2019 Apr 17 (Print Publication: 2019). |
| DOI: | 10.1016/j.eats.2019.01.003 |
| Abstrakt: | Anterior cruciate ligament (ACL) tears in skeletally immature patients are on the rise; pediatric athletes are now in constant year-round sports participation. Nonoperative treatment may lead to poor functional outcomes and an increase in associated intra-articular lesions and sometimes can cause drop-out from sports activity. The treatment of these injuries is not at all clear, and appropriate guidelines do not exist. Physeal-sparing and partial physeal-sparing techniques have been described. Concerns about restoring normal knee kinematics with the previously described ACL reconstruction (ACLR) techniques are open to debate. We describe a partial epiphyseal ACLR to be done in skeletally immature patients involved in highly demanding sport activities. This technique is performed with an extraphyseal femoral tunnel drilled retrograde, a transphyseal tibial tunnel, and a retrograde tibial drilling without trespassing the tibial physis. We added a modified Lemaire procedure to improve rotational instability to the previously performed ACLR. |
| Databáze: | MEDLINE |
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