Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2005-8-2
pubmed:abstractText
The purpose of this study was to anatomically evaluate anterior cruciate ligament (AL) reconstruction ate anterior cruciate ligament (ACL) reconstruction techniques in skeletally immature knees. Four cadav-techniques in skeletally immature knees. Four cadaveric knees from 2 skeletally immature children were used. After preoperative magnetic resonance imaging (MRI), various ACL reconstruction techniques were performed. On the tibial side, 30 degrees, 45 degrees, and 60 degrees tunnels were made; on the femoral side, a transtibial femoral tunnel was made, and over-the-top placement was used. After reconstruction, specimens underwent MRI imaging and were sectioned for descriptive analysis. The 30 degrees epiphyseal tunnel is feasible in older children, the standard 45 degrees tibial tunnel threatens the anteromedial proximal tibial physis and the tibial tubercle apophysis, and the 60 degrees vertical tunnel violates centrally in the proximal tibial physis. Both the transtibial femoral tunnel and the over-the-top placement are near the posterior distal femoral physis and perichondrial ring. When an interference screw is used for fixation, the physis is difficult to avoid. We recommend giving careful attention to technical details during ACL reconstruction in skeletally immature knees.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
1078-4519
pubmed:author
pubmed:issnType
Print
pubmed:volume
34
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
285-90
pubmed:dateRevised
2010-1-5
pubmed:meshHeading
pubmed:year
2005
pubmed:articleTitle
Anterior cruciate ligament reconstruction in skeletally immature knees: an anatomical study.
pubmed:affiliation
Steadman-Hawkins Sports Medicine Foundation, Vail, Colorado, USA. mininder.kocher@childrens.harvard.edu
pubmed:publicationType
Journal Article