Trans-physeal anterior cruciate ligament reconstruction in adolescents.
作者信息
Volpi P, Cervellin M, Bait C, Prospero E, Mousa H, Redaelli A, Quaglia A, Denti M
机构信息
Knee Orthopaedics and Sport Traumatology Unit, Humanitas Clinical and Research Center, Via Manzoni 56, 20089, Rozzano, Milan, Italy.
Humanitas Clinical and Research Center, International Medical School, University of Milan, Via Manzoni 56, 20089, Rozzano, Milan, Italy.
出版信息
Knee Surg Sports Traumatol Arthrosc. 2016 Mar;24(3):707-11. doi: 10.1007/s00167-015-3516-9. Epub 2015 Feb 4.
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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