title: Trans-physeal anterior cruciate ligament reconstruction in adolescents.
abstract: OBJECTIVE
  The aim of the study was to evaluate, in a group of adolescents, the onset of varus-valgus deviations in the sagittal plane after performing a trans-tibial trans-epiphyseal technique of ACL reconstruction with a follow-up of at least 2 years.
  
  
  METHODS
  Seventy-one patients aged 12-15 years old (Tanner scale 3 and 4) have undergone ACL reconstruction with STG using arthroscopy. All patients were evaluated clinically using the visual analogue scale (VAS), the Lysholm score and the Tegner activity score at the time of surgery. All patients were reevaluated after a follow-up period of at least 2 years (T1) using the VAS, the Lysholm score, the Tegner activity score and radiographic studies in order to compare the operated limb with the healthy control limb.
  
  
  RESULTS
  Valgus difference exceeding 2° in the knee axis between the operated limb and the healthy control limb was observed only in three patients (4.2%: 95% CI 0.88-11.86%). The average difference was <1° (0.3°, 95% CI 0.0-0.55).
  
  
  CONCLUSIONS
  The trans-tibial trans-epiphyseal technique of ACL reconstruction, according to the results obtained, seems to be a valid alternative procedure, when performed by a skilled orthopaedic surgeon, offering an excellent safety profile and at the same time very good clinical results.
  
  
  METHODS
  IV.
authors: Knee Orthopaedics and Sport Traumatology Unit, Humanitas Clinical and Research Center, Via Manzoni 56, 20089, Rozzano, Milan, Italy. piero.volpi@humanitas.it.
authors: P
authors: P
authors: Volpi
authors: Knee Orthopaedics and Sport Traumatology Unit, Humanitas Clinical and Research Center, Via Manzoni 56, 20089, Rozzano, Milan, Italy.
authors: M
authors: M
authors: Cervellin
authors: Knee Orthopaedics and Sport Traumatology Unit, Humanitas Clinical and Research Center, Via Manzoni 56, 20089, Rozzano, Milan, Italy.
authors: C
authors: C
authors: Bait
authors: Knee Orthopaedics and Sport Traumatology Unit, Humanitas Clinical and Research Center, Via Manzoni 56, 20089, Rozzano, Milan, Italy.
authors: E
authors: E
authors: Prospero
authors: Humanitas Clinical and Research Center, International Medical School, University of Milan, Via Manzoni 56, 20089, Rozzano, Milan, Italy.
authors: H
authors: H
authors: Mousa
authors: Knee Orthopaedics and Sport Traumatology Unit, Humanitas Clinical and Research Center, Via Manzoni 56, 20089, Rozzano, Milan, Italy.
authors: A
authors: A
authors: Redaelli
authors: Knee Orthopaedics and Sport Traumatology Unit, Humanitas Clinical and Research Center, Via Manzoni 56, 20089, Rozzano, Milan, Italy.
authors: A
authors: A
authors: Quaglia
authors: Knee Orthopaedics and Sport Traumatology Unit, Humanitas Clinical and Research Center, Via Manzoni 56, 20089, Rozzano, Milan, Italy.
authors: M
authors: M
authors: Denti
mesh_terms: D000293:Adolescent; D016118:Anterior Cruciate Ligament / Q000000981:diagnostic imaging / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D059549:Anterior Cruciate Ligament Reconstruction / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007719:Knee Joint / Q000000981:diagnostic imaging* / Q000601:surgery; D065466:Lysholm Knee Score; D008297:Male; D011859:Radiography; D013710:Tendons / Q000637:transplantation; D064232:Visual Analog Scale
keywords: ACL reconstruction; Adolescent; Knee; Outcome; Trans-epiphyseal; Trans-tibial technique
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