Guided Growth for Correction of Elevated Tibial Posterior Slope in Pediatric ACL Deficiency: A Case Report.

Q4 Medicine

JBJS case connector Pub Date : 2024-11-07 eCollection Date: 2024-10-01 DOI:10.2106/JBJS.CC.24.00188

Michael A Gaudiani, Trent Cooper, Angela Drummond, Logan M Hansen, Marc A Tompkins

引用次数: 0

Abstract

Case: Fourteen-year-old boy, history of autism presented with bilateral knee instability. Imaging revealed bilateral anterior cruciate ligament (ACL) insufficiency, 20° of posterior tibial slope (PTS) on the right and 18° on the left. A guided growth technique using anterior placed tension band plates was used to correct the PTS. At 22 months, the PTS corrected to 5.5° on the right and 6° on the left. The patient's knee stability improved, and he resumed activities at 30 months.

Conclusion: Pediatric ACL insufficiency in the setting of elevated PTS can be successfully corrected with a guided growth technique.

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小儿前交叉韧带缺损胫骨后斜度增高的引导性生长矫正：病例报告。

病例14 岁男孩，有自闭症史，双侧膝关节不稳。影像学检查显示双侧前交叉韧带（ACL）功能不全，右侧胫骨后斜坡（PTS）20°，左侧18°。采用前置张力带钢板引导生长技术矫正了PTS。22 个月后，PTS 右侧矫正为 5.5°，左侧为 6°。患者的膝关节稳定性得到改善，并于30个月时恢复活动：结论：小儿前交叉韧带发育不全导致的PTS升高可以通过引导生长技术成功矫正。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JBJS case connector Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

319

期刊介绍： JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.