Abstract
Several techniques exist for physeal sparing or physeal respecting ACL reconstruction in the growing population of skeletally immature patients with this injury. We describe a physeal sparing femoral tunnel placement with a transphyseal tibial tunnel, a hybrid ACL reconstruction technique, that can be used in skeletally immature patients with 2 years of growth remaining. It allows for a more anatomic femoral tunnel location within the footprint and minimizes potential physeal injury to the femoral physis. A vertical transphyseal tibial tunnel minimizes physeal injury and maximizes graft within the tibial tunnel. Future studies will be needed to examine the long-term effects of these procedures and compare their functional outcomes with other techniques for skeletally immature athletes.
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Milewski, M.D., Nissen, C.W. (2018). Femoral Physeal Sparing/Transphyseal Tibial (Hybrid) Technique for ACL Reconstruction in Skeletally Immature Athletes. In: Parikh, S. (eds) The Pediatric Anterior Cruciate Ligament. Springer, Cham. https://doi.org/10.1007/978-3-319-64771-5_15
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DOI: https://doi.org/10.1007/978-3-319-64771-5_15
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