Morin Vincent, Buisson Laurent, Pinaroli Alban, Estour Gilles, Cohen Bacry Maureen, Horteur Clément
Hôpital Privé Médipole de Savoie, Challes-les-Eaux, France.
Département de Chirurgie, Hôpital Couple Enfant, CHU Grenoble Alpes, La Tronche, France.
Arthrosc Tech. 2022 Jun 21;11(7):e1359-e1365. doi: 10.1016/j.eats.2022.03.023. eCollection 2022 Jul.
Anterior cruciate ligament (ACL) rupture is a common affliction in the athletic population. In pediatric patients, the immature skeleton with active growth plates is an issue that makes ACL reconstruction surgery technically challenging. The rerupture rate after ACL reconstruction is higher in the pediatric population than in the adult population. The addition of anterolateral ligament (ALL) reconstruction has been shown to be an effective way to reduce the rate of graft rupture and to control rotatory instability (pivot shift). Therefore, it appears necessary to combine ACL and ALL reconstruction in the pediatric population. We describe the surgical steps for combined ACL and ALL reconstruction adapted for young patients with active growth plates.
前交叉韧带（ACL）断裂在运动员群体中是一种常见病症。在儿科患者中，具有活跃生长板的未成熟骨骼是一个问题，这使得ACL重建手术在技术上具有挑战性。儿科人群中ACL重建后的再断裂率高于成人。已证明增加前外侧韧带（ALL）重建是降低移植物断裂率和控制旋转不稳定（轴移）的有效方法。因此，在儿科人群中联合进行ACL和ALL重建似乎是必要的。我们描述了适用于具有活跃生长板的年轻患者的联合ACL和ALL重建的手术步骤。
