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Anterior cruciate ligament recostruction with bone-patellar tendon-bone autograft in Tanner 3 stage patients with open physes

Memeo, Antonioa; Pedretti, Leopoldob; Miola, Francescab; Albisetti, Walterb

Journal of Pediatric Orthopaedics B: September 2012 - Volume 21 - Issue 5 - p 415–420
doi: 10.1097/BPB.0b013e328348aa47
Knee

Ten skeletally immature patients were treated with an arthroscopic-assisted anterior cruciate ligament reconstruction with bone-patellar tendon bone autograft (compass, 50–55°; holes, 7–9 mm). Radiological assessments (standard radiograph), Orthopädische Arbeitsgruppe Knie (OAK) score and KT 1000, were conducted on all patients, 1 year after surgery. Skeletal maturity had been reached by all patients and no complications were observed. All patients returned to their preinjury sport level. Drilling more vertical tunnels when bone-tendon-bone autograft was chosen to avoid partial epiphysiodesis and offers good functional and isometric results.

aIstituto Ortopedico G. Pini

bDepartment of Orthopaedics and Rehabilitation, Università degli Studi of Milan, Milan, Italy

Correspondence to Leopoldo Pedretti, Department of Orthopaedics and Rehabilitation, Università degli Studi of Milan, viale Gorizia 6, Milano 20100, Italy Tel: +393395914333; fax: +3928360546; e-mail: Leopoldo.pedretti@hotmail.it

© 2012 Lippincott Williams & Wilkins, Inc.