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 reconst...

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Bibliographic Details
Published in:Operative techniques in orthopaedics 2024-06, Vol.34 (2), p.101111, Article 101111
Main Authors: Vézina, François, Salmon, Lucy J., Roe, Justin P.
Format: Article
Language:English
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Summary: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.
ISSN:1048-6666
1558-3848
DOI:10.1016/j.oto.2024.101111