[Artículo traducido] Técnica «sin túneles óseos» (Micheli-Kocher) en la reconstrucción del ligamento cruzado anterior en pacientes en edad de crecimiento. Técnica quirúrgica y nuestra experiencia con 19 casos

Background

Given the rise in sports in school age, its intensity and the increase in sports in females, we are experiencing a boom in sports injuries characteristic of “adults” in growing patients, the anterior cruciate ligament being an injury with possible serious consequences.

Methods

To show the surgical technique “without bone tunnels” by Micheli-Kocher in anterior cruciate ligament reconstruction in growing patients based on our results.

Results

Since 2017 we have performed the technique “without bone tunnels” by Micheli-Kocher in 30 patients, 19 of whom have been followed up for more than 2 years. In ourstudy, we have observed a return to previous sports activity in more than 90% of the patients, with only one patient undergoing reoperation due to a new rupture of the plasty. The results on the IKDC scales show an improvement in mean score from 42 points preoperatively to 84 postoperatively and on the Lysholm scale from 48 preoperatively to 94 postoperatively.

Conclusions

The technique “without bone tunnels” by Micheli-Kocher is a technique indicated in patients under 12 years of age and Tanner stage 2 or less. It is a technique of moderate complexity with excellent results in recovery from previous sports activity and knee stability.