Multicenter-study of operative treatment of intraligamentous tears of the anterior cruciate ligament in children and adolescents: comparison of four different techniques

Tears of the anterior cruciate ligament in skeletally immature patients were operated with four different methods and their outcome compared to each other. Sixty-eight patients (33 males, 35 females), mean 12.5 years, were treated in four different centers from 1984 to 2001. Twenty-eight patients un...

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Bibliographic Details
Published in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2006-09, Vol.14 (9), p.797-803
Main Authors: Gebhard, F, Ellermann, A, Hoffmann, F, Jaeger, J-H, Friederich, N F
Format: Article
Language:English
Subjects:
Adolescence
Adolescent
Anterior Cruciate Ligament - surgery
Anterior Cruciate Ligament Injuries
Athletic Injuries - surgery
Bone-Patellar Tendon-Bone Grafting
Child
Evaluation
Fascia Lata - transplantation
Female
Follow-Up Studies
Humans
Knee
Knees
Legs
Ligaments
Male
Orthopedic Procedures - methods
Patients
Recurrence
Retrospective Studies
scoring
Sports
Surgery
Tendons - transplantation
Treatment Outcome
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Summary:Tears of the anterior cruciate ligament in skeletally immature patients were operated with four different methods and their outcome compared to each other. Sixty-eight patients (33 males, 35 females), mean 12.5 years, were treated in four different centers from 1984 to 2001. Twenty-eight patients underwent the ACL-reconstruction with hamstring grafts, 16 patients with bone-patella-bone autografts, 12 patients with quadriceps grafts and 12 patients with facia lata. The mean follow-up was 32 months. Postoperative evaluation included radiographs, KT-1000/2000 stability measurements, Lysholm score, The Tegner activity scale and IKDC score. Neither leg length discrepancy nor angular deformities were noted. Mean KT-1000 difference was 2.1 mm, mean postoperative Lysholm knee score 93.3, IKDC 87% normal or nearly normal. The Tegner index decreased from 6.6 to 5.7. In total, six patients developed instability due to an adequate trauma 1 year after the index operation. Two patients showed mild arthrotic changes. All but two patients were able to return to the same level of preoperative sports participation. None of the four methods studied showed major differences in outcome compared to the other. No growth disturbance could be noted.
ISSN:0942-2056
1433-7347
DOI:10.1007/s00167-006-0055-4