{"title":"经前交叉韧带重建：即使是青春期前的坦纳一期、二期和三期儿童，也是一种安全的选择","authors":"","doi":"10.1016/j.oto.2024.101111","DOIUrl":null,"url":null,"abstract":"<div><p>Prepubescent anterior cruciate ligament reconstruction presents a technical challenge to the surgeon due to the presence of the growth plates. Regaining knee stability and functionality are the main goals of treatment, while avoiding growth disturbances in this young population. Transphyseal reconstructions allows for an anatomic graft placement and is a safe option, even in the youngest patients, as long as specific technical points are taken into consideration. This present article describes in detail the operative technique of a transphyseal anterior cruciate ligament reconstruction with special attention to the pearls and pitfalls. The senior author has used this technique in 123 Tanner stage I, II, and III patients and his experience will also be presented.</p></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.2000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S104866662400020X/pdfft?md5=84f89a5d982d4ce40532f224825b08f3&pid=1-s2.0-S104866662400020X-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Transphyseal ACL Reconstruction: A Safe Option Even in Prepubescent Tanner I, II, and III Children\",\"authors\":\"\",\"doi\":\"10.1016/j.oto.2024.101111\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>Prepubescent anterior cruciate ligament reconstruction presents a technical challenge to the surgeon due to the presence of the growth plates. Regaining knee stability and functionality are the main goals of treatment, while avoiding growth disturbances in this young population. Transphyseal reconstructions allows for an anatomic graft placement and is a safe option, even in the youngest patients, as long as specific technical points are taken into consideration. This present article describes in detail the operative technique of a transphyseal anterior cruciate ligament reconstruction with special attention to the pearls and pitfalls. The senior author has used this technique in 123 Tanner stage I, II, and III patients and his experience will also be presented.</p></div>\",\"PeriodicalId\":45242,\"journal\":{\"name\":\"Operative Techniques in Orthopaedics\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.2000,\"publicationDate\":\"2024-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S104866662400020X/pdfft?md5=84f89a5d982d4ce40532f224825b08f3&pid=1-s2.0-S104866662400020X-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Operative Techniques in Orthopaedics\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S104866662400020X\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Operative Techniques in Orthopaedics","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S104866662400020X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
摘要
由于生长板的存在，青春期前交叉韧带重建给外科医生带来了技术挑战。恢复膝关节的稳定性和功能性是治疗的主要目标，同时还要避免对这一年轻群体的生长造成干扰。只要考虑到特定的技术要点，经骨韧带重建可实现解剖性移植物置放，即使对最年轻的患者来说也是一种安全的选择。本文详细介绍了经骨骺前交叉韧带重建的手术技术，并特别关注了其中的要点和误区。资深作者曾在 123 例 Tanner I、II 和 III 期患者中使用过该技术，他的经验也将在本文中介绍。
Transphyseal ACL Reconstruction: A Safe Option Even in Prepubescent Tanner I, II, and III Children
Prepubescent anterior cruciate ligament reconstruction presents a technical challenge to the surgeon due to the presence of the growth plates. Regaining knee stability and functionality are the main goals of treatment, while avoiding growth disturbances in this young population. Transphyseal reconstructions allows for an anatomic graft placement and is a safe option, even in the youngest patients, as long as specific technical points are taken into consideration. This present article describes in detail the operative technique of a transphyseal anterior cruciate ligament reconstruction with special attention to the pearls and pitfalls. The senior author has used this technique in 123 Tanner stage I, II, and III patients and his experience will also be presented.
期刊介绍：
Operative Techniques in Orthopaedics is an innovative, richly illustrated resource that keeps practitioners informed of significant advances in all areas of surgical management. Each issue of this atlas-style journal explores a single topic, often offering alternate approaches to the same procedure. Its current, definitive information keeps readers in the forefront of their specialty.
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