Mid-term results of transphyseal anterior cruciate ligament reconstruction in children and adolescents

Kohl, Sandro; Stutz, Chantal; Decker, Sebastian; Ziebarth, Kai; Slongo, Theddy; Ahmad, Sufian S.; Kohlhof, Hendrik; Eggli, Stefan; Zumstein, Matthias; Evangelopoulos, Dimitrios S. (2014). Mid-term results of transphyseal anterior cruciate ligament reconstruction in children and adolescents. The knee, 21(1), pp. 80-85. Elsevier 10.1016/j.knee.2013.07.004

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BACKGROUND Optimal therapy for anterior cruciate ligament (ACL) rupture in the paediatric population still provokes controversy. Although conservative and operative treatments are both applied, operative therapy is slightly favored. Among available surgical techniques are physeal-sparing reconstruction and transphyseal graft fixation. The aim of this study was to present our mid-term results after transphyseal ACL reconstruction. METHODS Fifteen young patients (mean age=12.8±2.6, range=6.2-15.8years, Tanner stage=2-4) with open physis and traumatic anterior cruciate rupture who had undergone transphyseal ACL reconstruction with unilateral quadriceps tendon graft were prospectively analyzed. All children were submitted to radiological evaluation to determine the presence of clearly open growth plates in both the distal femur and proximal tibia. Postoperatively, all patients were treated according to a standardized rehabilitation protocol and evaluated by radiographic analysis and the Lysholm-Gillquist and IKDC 2000 scores. Their health-related quality of life was measured using the SF-12 PCS (physical component summary) and MCS (mental component summary) questionnaires. RESULTS Mean postoperative follow-up was 4.1years. Mean Lysholm-Gillquist score was 94.0. Thirteen of the 15 knees were considered nearly normal on the IKDC 2000 score. The mean SF-12 questionnaire score was 54.0±4.8 for SF-12 PCS and 59.1±3.7 for SF-12 MCS. No reruptures were observed. Radiological analysis detected one knee with valgus deformity. All patients had a normal gait pattern without restrictions. CONCLUSION Transphyseal reconstruction of the anterior cruciate ligament shows satisfactory mid-term results in the immature patient.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Surgery
04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery

UniBE Contributor:

Kohl, Sandro; Ziebarth, Kai; Slongo, Theddy; Ahmad, Sufian; Kohlhof, Hendrik; Zumstein, Matthias and Evangelopoulos, Dimitrios Stergios

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0968-0160

Publisher:

Elsevier

Language:

English

Submitter:

Christoph Steffen

Date Deposited:

02 Apr 2014 13:34

Last Modified:

27 Apr 2017 10:39

Publisher DOI:

10.1016/j.knee.2013.07.004

PubMed ID:

23972566

Uncontrolled Keywords:

Anterior cruciate ligament, Children, Growth plate, Quadriceps tendon reconstruction, Rupture, Skeletally immature, Transphyseal reconstruction

BORIS DOI:

10.7892/boris.41539

URI:

https://boris.unibe.ch/id/eprint/41539

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