Management of the Anterior Cruciate Ligament-Injured Knee in the Skeletally Immature Athlete.

Abstract:

:Intrasubstance tears of the anterior cruciate ligament (ACL) are being diagnosed with increasing frequency in the skeletally immature. Management options include nonoperative/ early surgical, or delayed surgical reconstruction. Nonoperative/delayed reconstruction results in worse functional outcomes than early reconstruction. Physicians are faced with a treatment dilemma; clinical and basic science studies have demonstrated risk of limb-length discrepancy and angular deformity with ACL reconstruction. Vertical drill tunnels decrease physeal damage and minimize growth deformity; however, this technique results in nonanatomic ACL graft placement. All-epiphyseal reconstruction avoids damage to the growth plate. These techniques are biomechanically superior to extraarticular and modified physeal-sparing procedures.

journal_name

Clin Sports Med

authors

Anderson CN,Anderson AF

doi

10.1016/j.csm.2016.08.003

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

35-52

issue

1

eissn

0278-5919

issn

1556-228X

pii

S0278-5919(16)30074-6

journal_volume

36

pub_type

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