title: A physeal-sparing fibular collateral ligament and proximal tibiofibular joint reconstruction in a skeletally immature athlete.
abstract: The purpose of this report was to describe the surgical technique for and outcomes after a modified physeal-sparing posterolateral corner reconstruction in a 12-year-old skeletally immature male with a mid-substance fibular collateral ligament tear, a proximal posterior tibiofibular ligament tear, and an anterior cruciate ligament avulsion fracture of the medial tibial eminence. A modified physeal-sparing posterolateral corner reconstruction was used to provide a near-anatomic reconstruction of the fibular collateral ligament and proximal posterior tibiofibular ligament. An anterior cruciate ligament repair was also performed. Varus stress radiographs obtained at 6 months postoperatively demonstrated resolution of lateral knee stability. Physical examination results demonstrated stability to anterior tibial translation and a stable proximal tibiofibular joint. Computed tomography showed that the surgical technique successfully avoided breeching the patient's physes.
authors.affiliation: Department of BioMedical Engineering, Center for Outcomes-Based Orthopaedic Research, Steadman Philippon Research Institute, 181 W. Meadow Drive, Suite 1000, Vail, CO, 81657, USA. bwilliams@sprivail.org.
authors.forename: Brady T
authors.initials: BT
authors.lastname: Williams
authors.affiliation: Department of BioMedical Engineering, Center for Outcomes-Based Orthopaedic Research, Steadman Philippon Research Institute, 181 W. Meadow Drive, Suite 1000, Vail, CO, 81657, USA. ejames@sprivail.org.
authors.forename: Evan W
authors.initials: EW
authors.lastname: James
authors.affiliation: Department of BioMedical Engineering, Center for Outcomes-Based Orthopaedic Research, Steadman Philippon Research Institute, 181 W. Meadow Drive, Suite 1000, Vail, CO, 81657, USA. drlaprade@sprivail.org.|The Steadman Clinic, 181 W. Meadow Drive Suite 400, Vail, CO, 81657, USA. drlaprade@sprivail.org.
authors.forename: Robert F
authors.initials: RF
authors.lastname: LaPrade
mesh_terms: D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D002648:Child; D017885:Collateral Ligaments / Q000293:injuries / Q000601:surgery*; D005538:Football / Q000293:injuries; D006801:Humans; D007593:Joint Instability / Q000601:surgery; D007718:Knee Injuries / Q000601:surgery*; D008023:Ligaments, Articular / Q000293:injuries / Q000601:surgery*; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods*
keywords: Anterior cruciate ligament avulsion; Fibular collateral ligament; Open physes; Posterolateral corner; Proximal tibiofibular joint; Reconstruction
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