Transphyseal Reconstruction of the Anterior Cruciate Ligament Using Hamstring Autograft in Skeletally Immature Adolescents.
10.3346/jkms.2005.20.6.1034
- Author:
Jong Keun SEON
1
;
Eun Kyoo SONG
;
Taek Rim YOON
;
Sang Jin PARK
Author Information
1. Department of Orthopedics, Chonnam National University Hwasun Hospital, Chonnam National University School of Medicine, Gwangju, Korea. eksong@chonnam.ac.kr
- Publication Type:Original Article
- Keywords:
Adolescent;
Anterior Cruciate Ligament;
Reconstructive Surgical Procedures
- MeSH:
Adolescent;
Anterior Cruciate Ligament/*injuries/radiography/*surgery;
Bone Development;
Growth Plate/injuries/radiography/surgery;
Humans;
Knee Injuries/radiography/surgery;
Male;
Orthopedic Procedures/*methods;
Tendons/transplantation;
Transplantation, Autologous
- From:Journal of Korean Medical Science
2005;20(6):1034-1038
- CountryRepublic of Korea
- Language:English
-
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.
