title: Post-operative imaging of anterior cruciate ligament reconstruction techniques across the spectrum of skeletal maturity.
abstract: Due to an increased frequency of anterior cruciate ligament (ACL) injuries in young patients and improved outcomes in athletic performance following ACL reconstruction, surgery is increasingly being performed across the spectrum of skeletal maturity. We present a review of the range of reconstruction techniques performed in skeletally immature patients (physeal sparing techniques, which may involve epiphyseal tunnels or the utilization of an iliotibial band autograft), those performed in patients nearing skeletal maturity (transphyseal techniques), and the more conventional ACL reconstruction techniques performed in skeletally mature adolescents. It is important that radiologists be aware of the range of techniques being performed throughout the spectrum of skeletal maturity in order to accurately characterize the expected post-operative appearance as well as to identify complications, including those unique to this younger population.
authors.affiliation: Department of Radiology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, 3333 Burnet, Cincinnati, OH, 45229, USA. andrew.zbojniewicz@cchmc.org.
authors.forename: Andrew M
authors.initials: AM
authors.lastname: Zbojniewicz
authors.affiliation: Department of Pediatric Imaging, Children's Hospital of Wisconsin/Medical College of Wisconsin, PO Box 1997, MS 721, Milwaukee, WI, 53201-1997, USA.
authors.forename: Arthur B
authors.initials: AB
authors.lastname: Meyers
authors.affiliation: Department of Orthopaedic Surgery, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, 3333 Burnet, Cincinnati, OH, 45229, USA.
authors.forename: Eric J
authors.initials: EJ
authors.lastname: Wall
mesh_terms: D000293:Adolescent; D059549:Anterior Cruciate Ligament Reconstruction / Q000379:methods*; D002648:Child; D003952:Diagnostic Imaging; D004838:Epiphyses / Q000293:injuries; D006801:Humans; D007718:Knee Injuries / Q000000981:diagnostic imaging* / Q000601:surgery*; D011184:Postoperative Period
keywords: Anterior cruciate ligament reconstruction; Pediatric; Physis; Post-operative