title: Transphyseal reconstruction of the anterior cruciate ligament using hamstring autograft in skeletally immature adolescents.
abstract: Eleven skeletally immature adolescents underwent anterior cruciate ligament reconstruction using a transphyseal tibial and femoral tunnel. An autologous quadrupled hamstring tendon was used in all cases and the average follow-up was 77.7 months. Clinical results were evaluated using Lysholm knee scores and a return to pre-injury sports activities. Radiological results were evaluated using side-to-side differences of instrumented laxities and growth disturbances compared with the uninjured side on final follow-up orthoroentgenograms. The mean Lysholm score was 97.8 (range 94-100) and mean side-to-side laxity difference was 2.4 mm (range 1-4). Ten of 11 patients returned to pre-injury sports activity. No patient had a leg length discrepancy of over 1 cm or a significant abnormal angular deformity of the knee joint. Therefore, anterior cruciate ligament reconstruction using the transphyseal tunnel and hamstring autograft in skeletally immature adolescents is believed to be a reliable treatment method, which is not associated with significant leg length discrepancy or abnormal angular deformity of the knee joint.
authors.affiliation: Department of Orthopedics, Chonnam National University Hwasun Hospital, Chonnam National University School of Medicine, Gwangju, Korea.
authors.forename: Jong Keun
authors.initials: JK
authors.lastname: Seon
authors.forename: Eun Kyoo
authors.initials: EK
authors.lastname: Song
authors.forename: Taek Rim
authors.initials: TR
authors.lastname: Yoon
authors.forename: Sang Jin
authors.initials: SJ
authors.lastname: Park
mesh_terms: D000293:Adolescent; D016118:Anterior Cruciate Ligament / Q000000981:diagnostic imaging / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D001846:Bone Development; D006132:Growth Plate / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007718:Knee Injuries / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods*; D011859:Radiography; D000072042:Salter-Harris Fractures; D013710:Tendons / Q000637:transplantation; D014182:Transplantation, Autologous