Physeal-Sparing, All-Inside Anterior Cruciate Ligament Reconstruction Using Quadrupled Semitendinosus Autograft and Suture Tape Augmentation for Skeletally Immature Patients
The anterior cruciate ligament (ACL) is the primary soft-tissue structure for anterior stabilization of the knee and is one of the most frequently injured structures. The incidence of ACL injuries in children and adolescents ranges from 92 to 151 per 100,000 person-years. The choice of surgical trea...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-03-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628723003493 |
| _version_ | 1797243015890206720 |
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| author | Hang Tang, B.S. Yi-Fan Xiao, B.S. Yu-Mei Wu, B.S. Yi-Lin Xiong, B.S. Shu-Guang Gao, M.D. |
| author_facet | Hang Tang, B.S. Yi-Fan Xiao, B.S. Yu-Mei Wu, B.S. Yi-Lin Xiong, B.S. Shu-Guang Gao, M.D. |
| author_sort | Hang Tang, B.S. |
| collection | DOAJ |
| description | The anterior cruciate ligament (ACL) is the primary soft-tissue structure for anterior stabilization of the knee and is one of the most frequently injured structures. The incidence of ACL injuries in children and adolescents ranges from 92 to 151 per 100,000 person-years. The choice of surgical treatment for this population group is controversial, with a widespread concern that adult reconstruction techniques may damage the epiphyseal plate, compromise growth, or cause deformity. In this article, we describe a physeal-sparing, all-inside ACL reconstruction technique for skeletally immature patients. This technique is supported by retrograde drilling of the femoral tunnel and retrograde drilling of the tibial tunnel, both of which are able to avoid the epiphyseal growth line. Fixation of the quadrupled semitendinosus autograft and suture tape augmentation are achieved by soft-tissue buttons on the femur and tibia. The surgical details of this reproducible reconstruction technique are elaborated. |
| first_indexed | 2024-04-24T18:48:24Z |
| format | Article |
| id | doaj.art-4d27f920b51c430594fc9d6b3e55eddc |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-04-24T18:48:24Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-4d27f920b51c430594fc9d6b3e55eddc2024-03-27T04:52:08ZengElsevierArthroscopy Techniques2212-62872024-03-01133102889Physeal-Sparing, All-Inside Anterior Cruciate Ligament Reconstruction Using Quadrupled Semitendinosus Autograft and Suture Tape Augmentation for Skeletally Immature PatientsHang Tang, B.S.0Yi-Fan Xiao, B.S.1Yu-Mei Wu, B.S.2Yi-Lin Xiong, B.S.3Shu-Guang Gao, M.D.4Department of Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, ChinaDepartment of Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, ChinaDepartment of Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, ChinaDepartment of Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, ChinaDepartment of Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, China; Hunan Key Laboratory of Joint Degeneration and Injury, Changsha, Hunan, China; Hunan Engineering Research Center of Osteoarthritis, Changsha, Hunan, China; National Clinical Research Center of Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China; Address correspondence to Shu-Guang Gao, Department of Orthopaedics, Xiangya Hospital, Central South University, No. 87 Xiangya Rd., Changsha, Hunan, China 410008.The anterior cruciate ligament (ACL) is the primary soft-tissue structure for anterior stabilization of the knee and is one of the most frequently injured structures. The incidence of ACL injuries in children and adolescents ranges from 92 to 151 per 100,000 person-years. The choice of surgical treatment for this population group is controversial, with a widespread concern that adult reconstruction techniques may damage the epiphyseal plate, compromise growth, or cause deformity. In this article, we describe a physeal-sparing, all-inside ACL reconstruction technique for skeletally immature patients. This technique is supported by retrograde drilling of the femoral tunnel and retrograde drilling of the tibial tunnel, both of which are able to avoid the epiphyseal growth line. Fixation of the quadrupled semitendinosus autograft and suture tape augmentation are achieved by soft-tissue buttons on the femur and tibia. The surgical details of this reproducible reconstruction technique are elaborated.http://www.sciencedirect.com/science/article/pii/S2212628723003493 |
| spellingShingle | Hang Tang, B.S. Yi-Fan Xiao, B.S. Yu-Mei Wu, B.S. Yi-Lin Xiong, B.S. Shu-Guang Gao, M.D. Physeal-Sparing, All-Inside Anterior Cruciate Ligament Reconstruction Using Quadrupled Semitendinosus Autograft and Suture Tape Augmentation for Skeletally Immature Patients Arthroscopy Techniques |
| title | Physeal-Sparing, All-Inside Anterior Cruciate Ligament Reconstruction Using Quadrupled Semitendinosus Autograft and Suture Tape Augmentation for Skeletally Immature Patients |
| title_full | Physeal-Sparing, All-Inside Anterior Cruciate Ligament Reconstruction Using Quadrupled Semitendinosus Autograft and Suture Tape Augmentation for Skeletally Immature Patients |
| title_fullStr | Physeal-Sparing, All-Inside Anterior Cruciate Ligament Reconstruction Using Quadrupled Semitendinosus Autograft and Suture Tape Augmentation for Skeletally Immature Patients |
| title_full_unstemmed | Physeal-Sparing, All-Inside Anterior Cruciate Ligament Reconstruction Using Quadrupled Semitendinosus Autograft and Suture Tape Augmentation for Skeletally Immature Patients |
| title_short | Physeal-Sparing, All-Inside Anterior Cruciate Ligament Reconstruction Using Quadrupled Semitendinosus Autograft and Suture Tape Augmentation for Skeletally Immature Patients |
| title_sort | physeal sparing all inside anterior cruciate ligament reconstruction using quadrupled semitendinosus autograft and suture tape augmentation for skeletally immature patients |
| url | http://www.sciencedirect.com/science/article/pii/S2212628723003493 |
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