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ACL Rupture with Open Physis

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Anterior Cruciate Ligament Reconstruction

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Abstract

In recent years, the incidence of anterior cruciate ligament (ACL) injuries in skeletally immature patients increased significantly [26, 51]. Although available epidemiological information on ACL tears in skeletal immature patients is limited, the number of ≤10 age patients accounts for 0.4 % of all ACL injuries in Sweden [69]. Most of sports-related ACL injuries are non-contact in nature, that is, cutting or pivoting motion on a fixed foot during change of direction, sudden stopping or landing from a jump, or a hyperextension trauma [9]. The diagnostic accuracy of this young population is lower than in adults due to a lack of ability to state the circumstance of the injury or symptoms encountered since the injury [59]. For the physician it may be of help to assess the injury mechanism together with the patients and patients. In any case it is very important to include the parents in the decision making of the treatment. A close cooperation and compliance of the young patients is essential and needs the support and confidence of the patients, too.

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References

  1. Aichroth PM, Patel DV, Zorrilla P (2002) The natural history and treatment of rupture of the anterior cruciate ligament in children and adolescents. A prospective review. J Bone Joint Surg Br 84(1):38–41

    Article  CAS  PubMed  Google Scholar 

  2. Alentorn-Geli E, Myer GD, Silvers HJ, Samitier G, Romero D, Lazaro-Haro C, Cugat R (2009) Prevention of non-contact anterior cruciate ligament injuries in soccer players. Part 2: a review of prevention programs aimed to modify risk factors and to reduce injury rates. Knee Surg Sports Traumatol Arthrosc 17(8):859–879. doi:10.1007/s00167-009-0823-z

    Article  PubMed  Google Scholar 

  3. Anderson AF (2003) Transepiphyseal replacement of the anterior cruciate ligament in skeletally immature patients. A preliminary report. J Bone Joint Surg Am 85-A(7):1255–1263

    PubMed  Google Scholar 

  4. Anderson AF (2004) Transepiphyseal replacement of the anterior cruciate ligament using quadruple hamstring grafts in skeletally immature patients. J Bone Joint Surg Am 86-A(Suppl 1 (Pt. 2)):201–209

    PubMed  Google Scholar 

  5. Anderson M, Green WT, Messner MB (1963) Growth and predictions of growth in the lower extremities. J Bone Joint Surg Am 45:1–14

    PubMed  Google Scholar 

  6. Arbes S, Resinger C, Vecsei V, Nau T (2007) The functional outcome of total tears of the anterior cruciate ligament (ACL) in the skeletally immature patient. Int Orthop 31(4):471–475. doi:10.1007/s00264-006-0225-5

    Article  PubMed Central  PubMed  Google Scholar 

  7. Barrack RL, Bruckner JD, Kneisl J et al (1990) The outcome of nonoperatively treated complete tears of the anterior cruciate ligament in active young adults. Clin Orthop Relat Res 259:192–199

    PubMed  Google Scholar 

  8. Baxter MP (1988) Assessment of normal pediatric knee ligament laxity using the genucom. J Pediatr Orthop 8(5):546–550

    Article  CAS  PubMed  Google Scholar 

  9. Boden BP, Dean GS, Feagin JA Jr, Garrett WE Jr (2000) Mechanisms of anterior cruciate ligament injury. Orthopedics 23(6):573–578

    CAS  PubMed  Google Scholar 

  10. Bollen S, Pease F, Ehrenraich A, Church S, Skinner J, Williams A (2008) Changes in the four-strand hamstring graft in anterior cruciate ligament reconstruction in the skeletally-immature knee. J Bone Joint Surg Br 90(4):455–459. doi:10.1302/0301-620X.90B4.19416

    Article  CAS  PubMed  Google Scholar 

  11. Bonnard C, Chotel F (2007) Knee ligament and meniscal injury in children and adolescents. [Article in French]. Rev Chir Orthop Reparatrice Appar Mot 93(6 Suppl):95–139

    Article  CAS  PubMed  Google Scholar 

  12. Bonnard C, Fournier J, Babusiaux D, Planchenault M, Bergerault F, de Courtivron B (2011) Physeal-sparing reconstruction of anterior cruciate ligament tears in children: results of 57 cases using patellar tendon. J Bone Joint Surg Br 93(4):542–547. doi:10.1302/0301-620X.93B4.25801

    Article  CAS  PubMed  Google Scholar 

  13. Chotel F, Seil R (2013) Growth disturbances after transphyseal ACL reconstruction in skeletally immature patients: Who is more at risk? Young child or adolescent? J Pediatr Orthop 33(5):585–586

    Article  PubMed  Google Scholar 

  14. Chotel F, Bonnard C, Accadbled F et al (2007) Résultats et facteurs pronostiques de la reconstruction du LCA sur genou en croissance. A propos d'une série multicentrique de 102 cas. Rev Chir Orthop Reparatrice Appar Mot 93:3S131–3S138

    Google Scholar 

  15. Chotel F, Henry J, Seil R, Chouteau J, Moyen B, Bérard J (2010) Growth disturbances without growth arrest after ACL reconstruction in children. Knee Surg Sports Traumatol Arthrosc 18:1496–1500

    Article  PubMed  Google Scholar 

  16. Cohen M, Ferretti M, Quarteiro M, Marcondes FB, de Hollanda JP, Amaro JT, Abdalla RJ (2009) Transphyseal anterior cruciate ligament reconstruction in patients with open physes. Arthroscopy 25(8):831–838. doi:10.1016/j.arthro.2009.01.015

    Article  PubMed  Google Scholar 

  17. Courvoisier A, Grimaldi M, Plaweski S (2011) Good surgical outcome of transphyseal ACL reconstruction in skeletally immature patients using four-strand hamstring graft. Knee Surg Sports Traumatol Arthrosc 19(4):588–591. doi:10.1007/s00167-010-1282-2

    Article  PubMed  Google Scholar 

  18. Dumont GD, Hogue GD, Padalecki JR, Okoro N, Wilson PL (2012) Meniscal and chondral injuries associated with pediatric anterior cruciate ligament tears: relationship of treatment time and patient-specific factors. Am J Sports Med 40(9):2128–2133

    Article  PubMed  Google Scholar 

  19. Edwards PH, Grana WA (2001) Anterior cruciate ligament reconstruction in the immature athlete: long-term results of intra-articular reconstruction. Am J Knee Surg 14(4):232–237

    CAS  PubMed  Google Scholar 

  20. Edwards TB, Greene CC, Baratta RV et al (2001) The effect of placing a tensioned graft across open growth plates. A gross and histologic analysis. J Bone Joint Surg Am 83:725–734

    PubMed  Google Scholar 

  21. Edwards TB, Greene CC, Baratta RV, Zieske A, Willis RB (2001) The effect of placing a tensioned graft across open growth plates. A gross and histologic analysis. J Bone Joint Surg Am 83-A(5):725–734

    CAS  PubMed  Google Scholar 

  22. Fabricant PD, Jones KJ, Delos D, Cordasco FA, Marx RG, Pearle AD, Warren RF, Green DW (2013) Reconstruction of the anterior cruciate ligament in the skeletally immature athlete: a review of current concepts: AAOS exhibit selection. J Bone Joint Surg Am 95(5):e28. doi:10.2106/JBJS.L.00772

    Article  PubMed  Google Scholar 

  23. Ford LT, Key JA (1956) A study of experimental trauma to the distal femoral epiphysis in rabbits. J Bone Joint Surg Am 38-A(1):84–92

    CAS  PubMed  Google Scholar 

  24. Frosch KH, Preiss A, Giannakos A (2012) Probleme und Komplikationen nach vorderer. Kreuzbandplastik im Wachstumsalter Arthroskopie 25:260–265

    Google Scholar 

  25. Frosch KH, Habermann F, Fuchs M, Michel A, Junge R, Schmidtmann U, Stürmer KM (2001) Is prolonged ambulatory physical therapy after anterior cruciate ligament-plasty indicated? Comparison of costs and benefits. Unfallchirurg 104(6):513–518

    Article  CAS  PubMed  Google Scholar 

  26. Frosch KH, Stengel D, Brodhun T, Stietencron I, Holsten D, Jung C, Reister D, Voigt C, Niemeyer P, Maier M, Hertel P, Jagodzinski M, Lill H (2010) Outcomes and risks of operative treatment of rupture of the anterior cruciate ligament in children and adolescents. Arthroscopy 26(11):1539–1550. doi:10.1016/j.arthro.2010.04.077

    Article  PubMed  Google Scholar 

  27. Graf BK, Lange RH, Fujisaki CK, Landry GL, Saluja RK (1992) Anterior cruciate ligament tears in skeletally immature patients: meniscal pathology at presentation and after attempted conservative treatment. Arthroscopy 8(2):229–233

    Article  CAS  PubMed  Google Scholar 

  28. Guzzanti V (2003) The natural history and treatment of rupture of the anterior cruciate ligament in children and adolescents. J Bone Joint Surg Br 85(4):618–619; author reply 619

    Article  CAS  PubMed  Google Scholar 

  29. Guzzanti V, Falciglia F, Stanitski CL (2003) Preoperative evaluation and anterior cruciate ligament reconstruction technique for skeletally immature patients in Tanner stages 2 and 3. Am J Sports Med 31(6):941–948

    PubMed  Google Scholar 

  30. Henry J, Chotel F, Chouteau J, Fessy MH, Bérard J, Moyen B (2009) Rupture of the anterior cruciate ligament in children: early reconstruction with open physes or delayed reconstruction to skeletal maturity? Knee Surg Sports Traumatol Arthrosc 17(7):748–755

    Article  PubMed  Google Scholar 

  31. Hinton RY, Rivera VR, Pautz MJ, Sponseller PD (2008) Ligamentous laxity of the knee during childhood and adolescence. J Pediatr Orthop 28(2):184–187. doi:10.1097/BPO.0b013e3181652120

    Article  PubMed  Google Scholar 

  32. Hudgens JL, Dahm DL (2012) Treatment of anterior cruciate ligament injury in skeletally immature patients. Int J Pediatr 2012:932702

    Article  PubMed Central  PubMed  Google Scholar 

  33. Hueter C (1862) Anatomische Studien an den Extremitätengelenken Neugeborener und Erwachsener. Virchow Arch 25:575–599

    Article  Google Scholar 

  34. Janarv PM, Nystrom A, Werner S et al (1996) Anterior cruciate ligament injuries in skeletally immature patients. J Pediatr Orthop 16:673–677

    Article  CAS  PubMed  Google Scholar 

  35. Kannus P, Jarvinen M (1988) Knee ligament injuries in adolescents. Eight year follow-up of conservative management. J Bone Joint Surg Br 70:772–776

    CAS  PubMed  Google Scholar 

  36. Kercher J, Xerogeanes J, Tannenbaum A, Al-Hakim R, Black JC, Zhao J (2009) Anterior cruciate ligament reconstruction in the skeletally immature: an anatomical study utilizing 3-dimensional magnetic resonance imaging reconstructions. J Pediatr Orthop 29(2):124–129. doi:10.1097/BPO.0b013e3181982228

    Article  PubMed Central  PubMed  Google Scholar 

  37. Kim SJ, Chang JH, Kim TW, Jo SB, Oh KS (2009) Anterior Cruciate Ligament Reconstruction with Use of a Single or Double-Bundle Technique in Patients with Generalized Ligamentous Laxity. J Bone Joint Surg Am 91:257–262

    Article  PubMed  Google Scholar 

  38. Kocher MS, Saxon HS, Hovis WD, Hawkins RJ (2002) Management and complications of anterior cruciate ligament injuries in skeletally immature patients: survey of the Herodicus Society and the ACL Study Group. J Pediatr Orthop 22(4):452–457

    PubMed  Google Scholar 

  39. Kocher MS, Garg S, Micheli LJ (2005) Physeal sparing reconstruction of the anterior cruciate ligament in skeletally immature prepubescent children and adolescents. J Bone Joint Surg Am 87(11):2371–2379. doi:10.2106/JBJS.D.02802

    Article  PubMed  Google Scholar 

  40. Kocher MS, Garg S, Micheli LJ (2006) Physeal sparing reconstruction of the anterior cruciate ligament in skeletally immature prepubescent children and adolescents. Surgical technique. J Bone Joint Surg Am 88(Suppl 1):283–293

    PubMed  Google Scholar 

  41. Kocher MS, Smith JT, Zoric BJ, Lee B, Micheli LJ (2007) Transphyseal anterior cruciate ligament reconstruction in skeletally immature pubescent adolescents. J Bone Joint Surg Am 89(12):2632–2639. doi:10.2106/JBJS.F.01560

    Article  PubMed  Google Scholar 

  42. Koman JD, Sanders JO (1999) Valgus deformity after reconstruction of the anterior cruciate ligament in a skeletally immature patient. A case report. Bone Joint Surg Am 81:711–715

    CAS  Google Scholar 

  43. Kopf S, Schenkengel JP, Wieners G, Starke C, Becker R (2010) No bone tunnel enlargement in patients with open growth plates after transphyseal ACL reconstruction. Knee Surg Sports Traumatol Arthrosc 18(11):1445–1451. doi:10.1007/s00167-009-1041-4

    Article  CAS  PubMed  Google Scholar 

  44. Kumar S, Ahearne D, Hunt DM (2013) Transphyseal anterior cruciate ligament reconstruction in the skeletally immature: follow-up to a minimum of sixteen years of age. J Bone Joint Surg Am 95(1):e1. doi:10.2106/JBJS.K.01707

    Article  PubMed  Google Scholar 

  45. Kwon JW, Yoon YC, Kim YN, Ahn JH, Choe BK (2009) Which oblique plane is more helpful in diagnosing an anterior cruciate ligament tear? Clin Radiol 64(3):291–297. doi:10.1016/j.crad.2008.10.007

    Article  CAS  PubMed  Google Scholar 

  46. Lawrence JT, Bowers AL, Belding J, Cody SR, Ganley TJ (2010) All-epiphyseal anterior cruciate ligament reconstruction in skeletally immature patients. Clin Orthop Relat Res 468(7):1971–1977. doi:10.1007/s11999-010-1255-2

    Article  PubMed Central  PubMed  Google Scholar 

  47. Lawrence JT, Argawal N, Ganley TJ (2011) Degeneration of the knee joint in skeletally immature patients with a diagnosis of an anterior cruciate ligament tear: is there harm in delay of treatment? Am J Sports Med 39(12):2582–2587. doi:10.1177/0363546511420818

    Article  PubMed  Google Scholar 

  48. Lawrence JT, Argawal N, Ganley TJ (2011) Degeneration of the knee joint in skeletally immature patients with a diagnosis of an anterior cruciate ligament tear: is there harm in delay of treatment? Am J Sports Med 39(12):2582–2587

    Article  PubMed  Google Scholar 

  49. Lee K, Siegel MJ, Lau DM, Hildebolt CF, Matava MJ (1999) Anterior cruciate ligament tears: MR imaging-based diagnosis in a pediatric population. Radiology 213(3):697–704. doi:10.1148/radiology.213.3.r99dc26697

    Article  CAS  PubMed  Google Scholar 

  50. Lipscomb AB, Anderson AF (1986) Tears of the anterior cruciate ligament in adolescents. J Bone Joint Surg Am 68(1):19–28

    CAS  PubMed  Google Scholar 

  51. Makela EA, Vainionpaa S, Vihtonen K, Mero M, Rokkanen P (1988) The effect of trauma to the lower femoral epiphyseal plate. An experimental study in rabbits. J Bone Joint Surg Br 70(2):187–191

    CAS  PubMed  Google Scholar 

  52. Manner HM, Radler C, Ganger R, Grill F (2006) Dysplasia of the cruciate ligaments: radiographic assessment and classification. J Bone Joint Surg Am 88(1):130–137. doi:10.2106/JBJS.E.00146

    Article  PubMed  Google Scholar 

  53. Matsushita T, Oka S, Nagamune K, Matsumoto T, Nishizawa Y, Hoshino Y, Kubo S, Kurosaka M, Kuroda R (2013) Differences in knee kinematics between wake and anesthetized patients during the Lachman and Pivot-Shift tests for anterior cruciate ligament deficiency. Orthop J Sports Med 1 (1). doi:10.1177/2325967113487855

    Google Scholar 

  54. Mauro CS, Irrgang JJ, Williams BA, Harner CD (2008) Loss of extension following anterior cruciate ligament reconstruction: analysis of incidence and etiology using IKDC criteria. Arthroscopy 24(2):146–153. doi:10.1016/j.arthro.2007.08.026

    Article  PubMed  Google Scholar 

  55. Mccarroll JR, Rettig AC, Shelbourne KD (1988) Anterior cruciate ligament injuries in the young athlete with open physes. Am J Sports Med 16:44–47

    Article  CAS  PubMed  Google Scholar 

  56. McCarroll JR, Shelbourne KD, Porter DA, Rettig AC, Murray S (1994) Patellar tendon graft reconstruction for midsubstance anterior cruciate ligament rupture in junior high school athletes. An algorithm for management. Am J Sports Med 22(4):478–484

    Article  CAS  PubMed  Google Scholar 

  57. McCarroll JR, Shelbourne KD, Patel DV (1995) Anterior cruciate ligament injuries in young athletes. Recommendations for treatment and rehabilitation. Sports Med 20(2):117–127

    Article  CAS  PubMed  Google Scholar 

  58. McConkey MO, Bonasia DE, Amendola A (2011) Pediatric anterior cruciate ligament reconstruction. Curr Rev Musculoskelet Med 4(2):37–44. doi:10.1007/s12178-011-9076-9

    Article  PubMed Central  PubMed  Google Scholar 

  59. McIntosh AL, Dahm DL, Stuart MJ (2006) Anterior cruciate ligament reconstruction in the skeletally immature patient. Arthroscopy 22:1325–1330

    Article  PubMed  Google Scholar 

  60. Meller R et al (2008) Hindlimb growth after a transphyseal reconstruction of the anterior cruciate ligament: a study in skeletally immature sheep with wide-open physes. Am J Sports Med 36(12):2437–2443

    Article  PubMed  Google Scholar 

  61. Micheli LJ, Rask B, Gerberg L (1999) Anterior cruciate ligament reconstruction in patients who are prepubescent. Clin Orthop Relat Res 364:40–47

    Article  PubMed  Google Scholar 

  62. Millett PJ, Willis AA, Warren RF (2002) Associated injuries in pediatric and adolescent anterior cruciate ligament tears: does a delay in treatment increase the risk of meniscal tear? Arthroscopy 18(9):955–959

    Article  PubMed  Google Scholar 

  63. Mizuta H, Kubota K, Shiraishi M et al (1995) The conservative treatment of complete tears of the anterior cruciate ligament in skeletally immature patients. J Bone Joint Surg Br 77:890–894

    CAS  PubMed  Google Scholar 

  64. Moksnes H, Engebretsen L, Risberg MA (2008) Performance-based functional outcome for children 12 years or younger following anterior cruciate ligament injury: a two to nine-year follow-up study. Knee Surg Sports Traumatol Arthrosc 16(3):214–223

    Article  PubMed  Google Scholar 

  65. Moksnes H, Engebretsen L, Risberg MA (2012) The current evidence for treatment of ACL injuries in children is low: a systematic review. J Bone Joint Surg Am 94(12):1112–1119

    Article  PubMed  Google Scholar 

  66. Nakhostine M, Bollen SR, Cross MJ (1995) Reconstruction of mid-substance anterior cruciate rupture in adolescents with open physes. J Pediatr Orthop 15(3):286–287

    Article  CAS  PubMed  Google Scholar 

  67. Nordenvall R, Bahmanyar S, Adami J, Stenros C, Wredmark T, Fellander-Tsai L (2012) A population-based nationwide study of cruciate ligament injury in Sweden, 2001–2009: incidence, treatment, and sex differences. Am J Sports Med 40(8):1808–1813. doi:10.1177/0363546512449306

    Article  PubMed  Google Scholar 

  68. Nwachukwu BU, McFeely ED, Nasreddine A, Udall JH, Finlayson C, Shearer DW, Micheli LJ, Kocher MS (2011) Arthrofibrosis after anterior cruciate ligament reconstruction in children and adolescents. J Pediatr Orthop 31(8):811–817

    Article  PubMed  Google Scholar 

  69. Preiss A, Brodhun T, Stietencron I, Frosch KH (2012) Rupture of the anterior cruciate ligament in growing children: surgical or conservative treatment? A systematic review. Unfallchirurg 115(9):848–854

    Article  CAS  PubMed  Google Scholar 

  70. Renström PA (2013) Eight clinical conundrums relating to anterior cruciate ligament (ACL) injury in sport: recent evidence and a personal reflection. Br J Sports Med 47(6):367–372

    Article  PubMed  Google Scholar 

  71. Salzmann GM, Spang JT, Imhoff AB (2009) Double-bundle anterior cruciate ligament reconstruction in a skeletally immature adolescent athlete. Arthroscopy 25(3):321–324. doi:10.1016/j.arthro.2008.11.008

    Article  PubMed  Google Scholar 

  72. Seil R, Kohn D (2000) Ruptures of the anterior cruciate ligament (ACL) during growth. Bull Soc Sci Med Grand Duche Luxemb 1:39–53

    PubMed  Google Scholar 

  73. Seil R, Robert H (2004) Complete anterior cruciate ligament tears in children. Rev Chir Orthop Reparatrice Appar Mot 90(8 Suppl):3S11–3S20. Review. French

    CAS  PubMed  Google Scholar 

  74. Seil R, Pape D, Kohn D (2008) The risk of growth changes during transphyseal drilling in sheep with open physes. Arthroscopy 24(7):824–833. doi:10.1016/j.arthro.2008.02.007

    Article  PubMed  Google Scholar 

  75. Shea KG, Grimm NL, Belzer JS (2011) Volumetric injury of the distal femoral physis during double-bundle ACL reconstruction in children: a three-dimensional study with use of magnetic resonance imaging. J Bone Joint Surg Am 93(11):1033–1038. doi:10.2106/JBJS.J.01047

    Article  PubMed  Google Scholar 

  76. Shelbourne KD, Gray T, Wiley BV (2004) Results of transphyseal anterior cruciate ligament reconstruction using patellar tendon autograft in tanner stage 3 or 4 adolescents with clearly open growth plates. Am J Sports Med 32(5):1218–1222. doi:10.1177/0363546503262169

    Article  PubMed  Google Scholar 

  77. Slough JM, Hennrikus W, Chang Y (2013) The reliability of tanner staging performed by orthopaedic sports medicine surgeons. Med Sci Sports Exerc 45(7):1229–1234

    Article  PubMed  Google Scholar 

  78. Sobau C, Ellermann A (2004) Anterior cruciate ligament reconstruction with hamstring tendons in the young. Unfallchirurg 107:676–679

    Google Scholar 

  79. Stadelmaier DM, Arnoczky SP, Dodds J, Ross H (1995) The effect of drilling and soft tissue grafting across open growth plates. A histologic study. Am J Sports Med 23(4):431–435

    Article  CAS  PubMed  Google Scholar 

  80. Stanitski CL, Harvell JC, Fu F (1993) Observations on acute knee hemarthrosis in children and adolescents. J Pediatr Orthop 13(4):506–510

    Article  CAS  PubMed  Google Scholar 

  81. Streich NA, Barié A, Gotterbarm T, Keil M, Schmitt H (2010) Transphyseal reconstruction of the anterior cruciate ligament in prepubescent athletes. Knee Surg Sports Traumatol Arthrosc 18(11):1481–1486

    Article  PubMed  Google Scholar 

  82. Strobel MW (2005) Vordere Kreuzbandinsuffizienz. In: Wirth CJ, Zichner L, Kohn D (eds) Orthopädie und orthopädische Chirurgie, Germany:Georg Thieme Verlag, Stuttgart, pp 263–288

    Google Scholar 

  83. Volkmann R (1862) Chirurgische Erfahrungen über Knochenverbiegungen und Knochenwachstum. Arch Pathol Anat 24:512–540

    Article  Google Scholar 

  84. Woods GW, O'connor DP (2004) Delayed anterior cruciate ligament reconstruction in adolescents with open physes. Am J Sports Med 32:201–210

    Article  PubMed  Google Scholar 

  85. Yoo WJ, Kocher MS, Micheli LJ (2011) Growth plate disturbance after transphyseal reconstruction of the anterior cruciate ligament in skeletally immature adolescent patients: an MR imaging study. J Pediatr Orthop 31(6):691–696. doi:10.1097/BPO.0b013e3182210952

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Trauma and Reconstructive Surgery, Asklepios Klinik St. Georg, Lohmühlenstr. 5, 20099, Hamburg, Germany

    Karl-Heinz Frosch MD & Achim Preiss MD

  2. Department of Orthopaedic Surgery, Centre Hospitalier de Luxembourg-Clinique d’Eich, and Sports Medicine Research Laboratory, Public Research Centre for Health, 76, rue d’Eich, L-1460, Luxembourg, Luxembourg

    Romain Seil MD, PhD

  3. Institute for Anatomy and Cell Biology, Ruprecht-Karls University Heidelberg, Im Neuenheimer Feld 307, 69120, Heidelberg, Germany

    Rainer Siebold MD

  4. HKF: Center for Specialised Hip-Knee-Foot Surgery, ATOS Hospital Heidelberg, Bismarckstr. 9-15, 69115, Heidelberg, Germany

    Rainer Siebold MD & Shinya Oka MD

  5. Department of Pediatric Orthopaedic Surgery, Lyon University Hospital for Mother and Children, Université Claude Bernard Lyon I, 59 Boulevard Pinel, F-69677, Bron, France

    Franck Chotel MD, PhD

  6. Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Hyōgo, Japan

    Shinya Oka MD

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  1. Karl-Heinz Frosch MD
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  2. Romain Seil MD, PhD
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  3. Rainer Siebold MD
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  6. Achim Preiss MD
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Correspondence to Karl-Heinz Frosch MD , Romain Seil MD, PhD or Rainer Siebold MD .

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  1. ATOS Hospital Heidelberg, Heidelberg, Germany

    Rainer Siebold

  2. Lyon Ortho Clinic, Lyon, France

    David Dejour

  3. Istituti Ortopedico Rizzoli Clinica Ortopedica Traumatologica III, Bologna, Italy

    Stefano Zaffagnini

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Frosch, KH., Seil, R., Siebold, R., Chotel, F., Oka, S., Preiss, A. (2014). ACL Rupture with Open Physis. In: Siebold, R., Dejour, D., Zaffagnini, S. (eds) Anterior Cruciate Ligament Reconstruction. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-45349-6_32

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