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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 3/2016

01-03-2016 | Knee

Trans-physeal anterior cruciate ligament reconstruction in adolescents

Authors: P. Volpi, M. Cervellin, C. Bait, E. Prospero, H. Mousa, A Redaelli, A. Quaglia, M. Denti

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 3/2016

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Abstract

Purpose

The aim of the study was to evaluate, in a group of adolescents, the onset of varus–valgus deviations in the sagittal plane after performing a trans-tibial trans-epiphyseal technique of ACL reconstruction with a follow-up of at least 2 years.

Methods

Seventy-one patients aged 12–15 years old (Tanner scale 3 and 4) have undergone ACL reconstruction with STG using arthroscopy. All patients were evaluated clinically using the visual analogue scale (VAS), the Lysholm score and the Tegner activity score at the time of surgery. All patients were reevaluated after a follow-up period of at least 2 years (T1) using the VAS, the Lysholm score, the Tegner activity score and radiographic studies in order to compare the operated limb with the healthy control limb.

Results

Valgus difference exceeding 2° in the knee axis between the operated limb and the healthy control limb was observed only in three patients (4.2 %: 95 % CI 0.88–11.86 %). The average difference was <1° (0.3°, 95 % CI 0.0–0.55).

Conclusion

The trans-tibial trans-epiphyseal technique of ACL reconstruction, according to the results obtained, seems to be a valid alternative procedure, when performed by a skilled orthopaedic surgeon, offering an excellent safety profile and at the same time very good clinical results.

Level of evidence

IV.
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Metadata
Title
Trans-physeal anterior cruciate ligament reconstruction in adolescents
Authors
P. Volpi
M. Cervellin
C. Bait
E. Prospero
H. Mousa
A Redaelli
A. Quaglia
M. Denti
Publication date
01-03-2016
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 3/2016
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-015-3516-9

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