Puzzitiello Richard N, Agarwalla Avinesh, Garcia Grant, Forlenza Enrico M, Forsythe Brian
Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, IL, USA.
Case Rep Orthop. 2021 Apr 21;2021:3956524. doi: 10.1155/2021/3956524. eCollection 2021.
A 13-year-old skeletally immature female presenting with an anterior cruciate ligament (ACL) rupture after a noncontact injury was treated with an intraepiphyseal ACL reconstruction. Flexible instrumentation was utilized to drill a femoral tunnel with an anatomic starting point, with a trajectory that curved inferolaterally away from the physis. At three years postoperatively, she had returned to her preinjury functioning and did not display any lower limb length growth abnormalities.
The novel application of curved guides and flexible instruments, with intraoperative fluoroscopy, facilitated growth plate avoidance and a successful outcome of ACL reconstruction in a skeletally immature patient.
一名13岁骨骼未成熟女性在非接触性损伤后出现前交叉韧带（ACL）断裂，接受了骨骺内ACL重建治疗。使用柔性器械从解剖学起点钻出股骨隧道，其轨迹向外侧下方弯曲，远离生长板。术后三年，她恢复到受伤前的功能状态，未出现任何下肢长度生长异常。
弯曲导向器和柔性器械的新应用，结合术中透视，有助于避免生长板损伤，并使骨骼未成熟患者的ACL重建取得成功。
