{"title":"Transphyseal ACL Reconstruction: A Safe Option Even in Prepubescent Tanner I, II, and III Children","authors":"François Vézina , Lucy J. Salmon , Justin P. Roe","doi":"10.1016/j.oto.2024.101111","DOIUrl":null,"url":null,"abstract":"<div><p>Prepubescent anterior cruciate ligament reconstruction presents a technical challenge to the surgeon due to the presence of the growth plates. Regaining knee stability and functionality are the main goals of treatment, while avoiding growth disturbances in this young population. Transphyseal reconstructions allows for an anatomic graft placement and is a safe option, even in the youngest patients, as long as specific technical points are taken into consideration. This present article describes in detail the operative technique of a transphyseal anterior cruciate ligament reconstruction with special attention to the pearls and pitfalls. The senior author has used this technique in 123 Tanner stage I, II, and III patients and his experience will also be presented.</p></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 2","pages":"Article 101111"},"PeriodicalIF":0.2000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S104866662400020X/pdfft?md5=84f89a5d982d4ce40532f224825b08f3&pid=1-s2.0-S104866662400020X-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Operative Techniques in Orthopaedics","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S104866662400020X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
Abstract
Prepubescent anterior cruciate ligament reconstruction presents a technical challenge to the surgeon due to the presence of the growth plates. Regaining knee stability and functionality are the main goals of treatment, while avoiding growth disturbances in this young population. Transphyseal reconstructions allows for an anatomic graft placement and is a safe option, even in the youngest patients, as long as specific technical points are taken into consideration. This present article describes in detail the operative technique of a transphyseal anterior cruciate ligament reconstruction with special attention to the pearls and pitfalls. The senior author has used this technique in 123 Tanner stage I, II, and III patients and his experience will also be presented.
期刊介绍：
Operative Techniques in Orthopaedics is an innovative, richly illustrated resource that keeps practitioners informed of significant advances in all areas of surgical management. Each issue of this atlas-style journal explores a single topic, often offering alternate approaches to the same procedure. Its current, definitive information keeps readers in the forefront of their specialty.
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