Physeal-sparing reconstruction of anterior cruciate ligament tears in children
| Autor: | Christian Bonnard, F. Bergerault, M. Planchenault, D. Babusiaux, B. de Courtivron, J. Fournier |
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| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Anterior cruciate ligament Cohort Studies Arthroscopy Patellar Ligament Age Determination by Skeleton medicine Humans Orthopedic Procedures Orthopedics and Sports Medicine Anterior Cruciate Ligament Anterior cruciate ligament tears Child Retrospective Studies Transplantation Bone Development business.industry Anterior Cruciate Ligament Injuries Age Factors Recovery of Function medicine.disease ACL injury Patellar tendon Surgery Treatment Outcome medicine.anatomical_structure El Niño Radiological weapon Orthopedic surgery Physeal sparing Female business |
| Zdroj: | The Journal of Bone and Joint Surgery. British volume. :542-547 |
| ISSN: | 2044-5377 0301-620X |
| DOI: | 10.1302/0301-620x.93b4.25801 |
| Popis: | This study evaluated the results of a physeal-sparing technique of intra-articular anterior cruciate ligament (ACL) reconstruction in skeletally immature patients, with particular reference to growth disturbance. Between 1992 and 2007, 57 children with a mean age of 12.2 years (6.8 to 14.5) underwent ACL reconstruction using the same technique. At a mean of 5.5 years (2 to 14) after surgery, 56 patients underwent clinical and radiological evaluation. At that time, 49 patients (87.5%) had reached bony maturity and 53 (95%) achieved A or B according to the IKDC 2000 classification. Four patients had stopped participation in sports because of knee symptoms, and three patients (5.4%) had a subsequent recurrent ACL injury. There was no clinical or radiological evidence of growth disturbance after a mean growth in stature of 20.0 cm (3 to 38). This study demonstrates that ACL reconstruction sparing the physes in children is a safe technique protecting against meniscal tears and giving better results than reconstruction in adults, without causing significant growth disturbance. |
| Databáze: | OpenAIRE |
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