Valgus and flexion deformity after reconstruction of the anterior cruciate ligament in a skeletally immature patient

Anterior cruciate ligament reconstruction in children with open physes is still a topic of debate. We report a unique case of growth disturbance in valgus and flexion of the distal femoral epiphysis, after an ACL reconstruction in a 14.5-year-old boy. The Clocheville technique using the patellar ten...

Full description

Saved in:
Bibliographic Details
Published in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2010-10, Vol.18 (10), p.1369-1373
Main Authors: Robert, Henri Emile, Casin, Charles
Format: Article
Language:English
Subjects:
Adolescent
Aesthetics
Anterior Cruciate Ligament - surgery
Anterior Cruciate Ligament Injuries
Bone Screws
Bones
Epiphyses - diagnostic imaging
Epiphyses - surgery
Femur - diagnostic imaging
Femur - physiopathology
Follow-Up Studies
Humans
Joint Deformities, Acquired - diagnostic imaging
Joint Deformities, Acquired - etiology
Joint Deformities, Acquired - surgery
Knee
Knees
Ligaments
Male
Medicine
Medicine & Public Health
Orthopedics
Osteotomy - methods
Patellar Ligament - transplantation
Patients
Postoperative Care - methods
Postoperative Complications - diagnostic imaging
Postoperative Complications - physiopathology
Radiography
Range of Motion, Articular - physiology
Reconstructive Surgical Procedures - adverse effects
Reconstructive Surgical Procedures - methods
Recovery of Function
Reoperation - methods
Risk Assessment
Sports
Surgery
Techniques
Tendons
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Anterior cruciate ligament reconstruction in children with open physes is still a topic of debate. We report a unique case of growth disturbance in valgus and flexion of the distal femoral epiphysis, after an ACL reconstruction in a 14.5-year-old boy. The Clocheville technique using the patellar tendon was performed. The femoral tunnel and tibial groove were both positioned above the growth plates. Eighteen months after ACL reconstruction, the patient had to be re-operated on for a valgus and flexion deformity of the femoral epiphysis. The clinical, radiological and aesthetic results were satisfactory. The angular deformity was caused by the fact that either the femoral tunnel was too close to the posterolateral femoral growth plate or an excessive eccentric traction of the graft in relation to the central point of the knee.
ISSN:0942-2056
1433-7347
DOI:10.1007/s00167-009-0988-5