Tibial Physeal-Respecting, All Epiphyseal ACL Reconstruction Technique in Skeletally Immature Athletes

IF 0.4 4区医学 Q4 SPORT SCIENCES

Operative Techniques in Sports Medicine Pub Date : 2025-03-01 DOI:10.1016/j.otsm.2025.151157

Stephanie S. Pearce, Hannah Rossing, Samuel Noonan, Matthew Brewer, C. Giachino, Jay C. Albright

{"title":"Tibial Physeal-Respecting, All Epiphyseal ACL Reconstruction Technique in Skeletally Immature Athletes","authors":"Stephanie S. Pearce, Hannah Rossing, Samuel Noonan, Matthew Brewer, C. Giachino, Jay C. Albright","doi":"10.1016/j.otsm.2025.151157","DOIUrl":null,"url":null,"abstract":"<div><div>There has been an increase of anterior cruciate ligament (ACL) injuries in the pediatric population due to multiple factors. The potential complications of traditional ACL reconstructions have led to the development of physeal-sparing techniques. The goal with this technique is to preserve growth potential while provide long-term knee stability. This procedure involves a small, centrally-placed tibial transphyseal suture fixation with an all-epiphyseal graft tunnel on the tibial side along with an all-epiphyseal femoral tunnel. Over a 7-year period of this physeal-respecting technique being performed, no clinically significant growth disturbances, angular deformities, or major leg length discrepancies were reported. The most common finding has been mild overgrowth of the surgical side (<15 mm) but has led to no functional concerns. As pediatric ACL injuries continue to rise, improving surgical approaches to enhance both safety and function should remain a priority. However, further research is needed to review patient long-term outcomes.</div></div>","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":"33 1","pages":"Article 151157"},"PeriodicalIF":0.4000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Operative Techniques in Sports Medicine","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1060187225000024","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SPORT SCIENCES","Score":null,"Total":0}

引用次数: 0

Abstract

There has been an increase of anterior cruciate ligament (ACL) injuries in the pediatric population due to multiple factors. The potential complications of traditional ACL reconstructions have led to the development of physeal-sparing techniques. The goal with this technique is to preserve growth potential while provide long-term knee stability. This procedure involves a small, centrally-placed tibial transphyseal suture fixation with an all-epiphyseal graft tunnel on the tibial side along with an all-epiphyseal femoral tunnel. Over a 7-year period of this physeal-respecting technique being performed, no clinically significant growth disturbances, angular deformities, or major leg length discrepancies were reported. The most common finding has been mild overgrowth of the surgical side (<15 mm) but has led to no functional concerns. As pediatric ACL injuries continue to rise, improving surgical approaches to enhance both safety and function should remain a priority. However, further research is needed to review patient long-term outcomes.

查看原文本刊更多论文

不成熟运动员胫骨骨性、全骨骺前交叉韧带重建技术

由于多种因素，儿童前交叉韧带（ACL）损伤的发生率有所增加。传统前交叉韧带重建的潜在并发症导致了肢体保留技术的发展。这项技术的目的是在保持生长潜力的同时提供长期的膝关节稳定性。该手术包括一个小的、位于胫骨中心位置的经骨骺缝合固定，胫骨侧有一个全骨骺移植隧道和一个全骨骺股骨隧道。在这项尊重身体的技术实施的7年期间，没有临床显著的生长障碍、角度畸形或主要的腿长差异的报道。最常见的发现是手术侧轻度过度生长（15mm），但没有导致功能问题。随着儿童前交叉韧带损伤的持续增加，改进手术方法以提高安全性和功能应该仍然是一个优先考虑的问题。然而，需要进一步的研究来评估患者的长期结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Operative Techniques in Sports Medicine 医学-外科

CiteScore

0.60

自引率

0.00%

发文量

审稿时长

93 days

期刊介绍： Operative Techniques in Sports Medicine combines the authority of a textbook, the usefulness of a color atlas and the timeliness of a journal. Each issue focuses on a single clinical condition, offering several different management approaches. It''s the easiest way for practitioners to stay informed of the latest surgical advancements and developments.