Document Detail

Good surgical outcome of transphyseal ACL reconstruction in skeletally immature patients using four-strand hamstring graft.
MedLine Citation:
PMID:  20890694     Owner:  NLM     Status:  In-Data-Review    
PURPOSE: Our purpose was to evaluate the clinical and radiological outcome at maturity of an « adult-like » transphyseal anterior cruciate ligament (ACL) reconstruction performed in skeletally immature patients using four-strand hamstring graft.
METHODS: The records of all skeletally immature patients who underwent transphyseal ACL reconstruction between 2004 and 2006 at our institution were reviewed. Inclusion criteria were age less than 16 years and radiographic evidence of open physes. Thirty-eight children and prepubescents were identified. All underwent postoperative clinical evaluation with International Knee Documentation Committee scores and long leg radiographs. Each patient was followed up until skeletal maturity was confirmed.
RESULTS: Twenty-eight patients were scored A, four B, and five D according to IKDC. At last follow-up, there was no radiographic evidence of malalignment in any of the patients. Five underwent a reoperation. Three patients suffered traumatic graft disruption and two from post-operative knee instability.
CONCLUSION: Early operative treatment by means of the quadruple hamstring free graft appears to be a safe and relevant procedure for ACL reconstruction even in skeletally immature patients.
Aurélien Courvoisier; Mathieu Grimaldi; Stéphane Plaweski
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Publication Detail:
Type:  Journal Article     Date:  2010-10-02
Journal Detail:
Title:  Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA     Volume:  19     ISSN:  1433-7347     ISO Abbreviation:  Knee Surg Sports Traumatol Arthrosc     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-03-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9314730     Medline TA:  Knee Surg Sports Traumatol Arthrosc     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  588-91     Citation Subset:  IM    
Department of Orthopedic Surgery, Grenoble University Hospital, BP 217 Cedex, Grenoble, France,
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