Physeal-Sparing, All-Inside Anterior Cruciate Ligament Reconstruction Using Quadrupled Semitendinosus Autograft and Suture Tape Augmentation for Skeletally Immature Patients.

Autor:	Tang H; Department of Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, China., Xiao YF; Department of Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, China., Wu YM; Department of Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, China., Xiong YL; Department of Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, China., Gao SG; Department of Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.; Hunan Key Laboratory of Joint Degeneration and Injury, Changsha, Hunan, China.; Hunan Engineering Research Center of Osteoarthritis, Changsha, Hunan, China.; National Clinical Research Center of Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Jazyk:	angličtina
Zdroj:	Arthroscopy techniques [Arthrosc Tech] 2024 Jan 01; Vol. 13 (3), pp. 102889. Date of Electronic Publication: 2024 Jan 01 (Print Publication: 2024).
DOI:	10.1016/j.eats.2023.11.017
Abstrakt:	The anterior cruciate ligament (ACL) is the primary soft-tissue structure for anterior stabilization of the knee and is one of the most frequently injured structures. The incidence of ACL injuries in children and adolescents ranges from 92 to 151 per 100,000 person-years. The choice of surgical treatment for this population group is controversial, with a widespread concern that adult reconstruction techniques may damage the epiphyseal plate, compromise growth, or cause deformity. In this article, we describe a physeal-sparing, all-inside ACL reconstruction technique for skeletally immature patients. This technique is supported by retrograde drilling of the femoral tunnel and retrograde drilling of the tibial tunnel, both of which are able to avoid the epiphyseal growth line. Fixation of the quadrupled semitendinosus autograft and suture tape augmentation are achieved by soft-tissue buttons on the femur and tibia. The surgical details of this reproducible reconstruction technique are elaborated. Competing Interests: The authors report the following potential conflicts of interest or sources of funding: This work was supported by the 10.13039/501100001809National Natural Science Foundation of China (No. 81672225, 81601941), the National Clinical Research Center for Geriatric Disorders, 10.13039/501100011790Xiangya Hospital, Central South University (2021KFJJ06), and Hunan Provincial Natural Foundation of China (2021JJ30040). Full ICMJE author disclosure forms are available for this article online, as supplementary material. (© 2023 The Authors.)
Databáze:	MEDLINE
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