Anterior Cruciate Ligament Reconstruction in Children With A Quadrupled Semitendinosus Graft

摘要: Background: The management of anterior cruciate ligament (ACL) tears in growing patients must balance activity modification with the risk secondary (meniscal and cartilaginous) lesions, surgical intervention, which could adversely affect skeletal growth. Many ACL reconstruction techniques have been developed or modified to decrease growth disturbance. We not found any description using a single hamstring, short graft implanted into intraepiphyseal, retroreamed sockets. Our hypothesis was that technique we used restored knee stability did cause disturbances. Methods: retrospectively studied 28 (20 boys, 8 girls) who presented unilateral tear open plates. performed semitendinosus folded 4 strands around 2 polyethylene terephthalate tapes. sockets were femoral tibial epiphysis tapes fixed remotely by interference screws. After minimum period years, evaluated comparative laxity, radiographic limb morphology, appearance functional outcomes Lysholm Tegner scores. Comparative analyses Student t test subgroups depending on type fixation used. Results: mean age 13 years (range, 9 15 y). follow-up 2.8 5 difference laxity at 134 N 0.3 mm, as determined GNRB arthrometer. No reported meniscal symptoms degenerative changes. no angular deformity leg length inequality. Two suffered recurrent tear. Conclusions: preliminary results from this series are consistent prior studies demonstrating intraepiphyseal is safe reliable alternative for pediatric population. Study Design: Case series; level evidence 4.