title: Surgical treatment of anterior cruciate ligament injuries in adolescents using double-looped semitendinosus and gracilis tendons: supraepiphysary femoral and tibial fixation.
abstract: Surgical treatment of anterior cruciate ligament injuries in adolescents continues to be controversial even though the advocates of surgical treatment are growing relative to those who prefer conservative treatment. Those using surgical techniques must respect the epiphysary cartilages and try to reproduce the same results that are achieved in adults. We report on a technique analogous to that applied to adults, using doubled hamstring tendons that are fixed with 2 transverse femoral and tibial bioabsorbable cross pins without interfering with the growth cartilage.
authors.affiliation: Center for Sport Traumatology and Arthroscopic Surgery, Galeazzi Orthopedic Institute, Milan, Italy. volpi.sozzi@libero.it
authors.forename: Piero
authors.initials: P
authors.lastname: Volpi
authors.forename: Marco
authors.initials: M
authors.lastname: Galli
authors.forename: Corrado
authors.initials: C
authors.lastname: Bait
authors.forename: Roberto
authors.initials: R
authors.lastname: Pozzoni
mesh_terms: D020341:Absorbable Implants; D000293:Adolescent; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D001182:Arthroscopy / Q000379:methods*; D001858:Bone Nails; D005269:Femur; D006801:Humans; D007866:Leg / Q000254:growth & development; D011183:Postoperative Complications / Q000517:prevention & control; D019651:Plastic Surgery Procedures / Q000379:methods*; D000072042:Salter-Harris Fractures; D013710:Tendons / Q000637:transplantation*; D013977:Tibia; D014947:Wounds and Injuries / Q000517:prevention & control