This Article
Right arrow Full Text Free
Right arrow Full Text (PDF) Free
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow Rights and Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by KOMAN, J. D.
Right arrow Articles by SANDERS, J. O.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by KOMAN, J. D.
Right arrow Articles by SANDERS, J. O.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Facebook   Add to Technorati   Add to Twitter  
What's this?
The Journal of Bone and Joint Surgery 81:711-5 (1999)
© 1999 The Journal of Bone and Joint Surgery, Inc.

Valgus Deformity After Reconstruction of the Anterior Cruciate Ligament in a Skeletally Immature Patient. A Case Report*

JON D. KOMAN, M.D.{dagger} and JAMES O. SANDERS, M.D.{ddagger}, ERIE, PENNSYLVANIA

Investigation performed at Shriners Hospital for Children, Erie


   Introduction
 
Whether acute or chronic, rupture of the anterior cruciate ligament is uncommon in children, most likely because the strength of the ligament is greater than that of bone or physes in children3,5. However, intrasubstance ruptures of the anterior cruciate ligament can occur in young patients1,2,4,6-8,11-17,19. A heightened awareness of injuries to the ligament and the fear of irreparable damage to the cartilage and menisci have created a trend toward operative treatment1,2,4,6-8,11-17,19. Intra-articular reconstruction of the anterior cruciate ligament has been successful in adults; however, drilling across an open growth plate is a cause of concern because it may lead to the formation of an osseous bridge, resulting in premature physeal closure, limb-length discrepancy, and angulation of the involved extremity10.

We report on a fourteen-year-old boy who was managed with a transphyseal intra-articular reconstruction of the anterior cruciate ligament of the right knee. He subsequently had premature . . . [Full Text of this Article]


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Facebook Facebook   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 Am J Sports MedHome page
N. E. Trentacosta, M. A. Vitale, and C. S. Ahmad
The Effects of Timing of Pediatric Knee Ligament Surgery on Short-term Academic Performance in School-Aged Athletes
Am. J. Sports Med., September 1, 2009; 37(9): 1684 - 1691.
[Abstract] [Full Text] [PDF]

Home page
 Sports Health: A Multidisciplinary ApproachHome page
A. F. Anderson and C. N. Anderson
Transepiphyseal Anterior Cruciate Ligament Reconstruction in Pediatric Patients: Surgical Technique
Sports Health: A Multidisciplinary Approach, January 1, 2009; 1(1): 76 - 80.
[Full Text] [PDF]

Home page
 Am J Sports MedHome page
R. Meller, D. Kendoff, S. Hankemeier, M. Jagodzinski, M. Grotz, K. Knobloch, and C. Krettek
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., December 1, 2008; 36(12): 2437 - 2443.
[Abstract] [Full Text] [PDF]

Home page
 Br. J. Sports. Med.Home page
P Renstrom, A Ljungqvist, E Arendt, B Beynnon, T Fukubayashi, W Garrett, T Georgoulis, T E Hewett, R Johnson, T Krosshaug, et al.
Non-contact ACL injuries in female athletes: an International Olympic Committee current concepts statement
Br. J. Sports Med., June 1, 2008; 42(6): 394 - 412.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
J. R. Babb, J. I. Ahn, F. M. Azar, S. T. Canale, and J. H. Beaty
Transphyseal Anterior Cruciate Ligament Reconstruction Using Mesenchymal Stem Cells
Am. J. Sports Med., June 1, 2008; 36(6): 1164 - 1170.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
M. S. Kocher, J. T. Smith, B. J. Zoric, B. Lee, and L. J. Micheli
Transphyseal Anterior Cruciate Ligament Reconstruction in Skeletally Immature Pubescent Adolescents
J. Bone Joint Surg. Am., December 1, 2007; 89(12): 2632 - 2639.
[Abstract] [Full Text] [PDF]

Home page
 J Am Acad Orthop SurgHome page
M. W. Larsen, W. E. Garrett Jr, J. C. DeLee, and C. T. Moorman III
Surgical Management of Anterior Cruciate Ligament Injuries in Patients With Open Physes
J. Am. Acad. Ortho. Surg., December 1, 2006; 14(13): 736 - 744.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
M. S. Kocher, S. Garg, and L. J. Micheli
Physeal Sparing Reconstruction of the Anterior Cruciate Ligament in Skeletally Immature Prepubescent Children and Adolescents. Surgical Technique
J. Bone Joint Surg. Am., September 1, 2006; 88(1_suppl_2): 283 - 293.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
M. S. Kocher, S. Garg, and L. J. Micheli
Physeal Sparing Reconstruction of the Anterior Cruciate Ligament in Skeletally Immature Prepubescent Children and Adolescents
J. Bone Joint Surg. Am., November 1, 2005; 87(11): 2371 - 2379.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
B. D. Beynnon, R. J. Johnson, J. A. Abate, B. C. Fleming, and C. E. Nichols
Treatment of Anterior Cruciate Ligament Injuries, Part I
Am. J. Sports Med., October 1, 2005; 33(10): 1579 - 1602.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
B. Yu, S. B. McClure, J. A. Onate, K. M. Guskiewicz, D. T. Kirkendall, and W. E. Garrett
Age and Gender Effects on Lower Extremity Kinematics of Youth Soccer Players in a Stop-Jump Task
Am. J. Sports Med., September 1, 2005; 33(9): 1356 - 1364.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
C. P. Bales, J. H. Guettler, and C. T. Moorman III
Anterior Cruciate Ligament Injuries in Children With Open Physes: Evolving Strategies of Treatment
Am. J. Sports Med., December 1, 2004; 32(8): 1978 - 1985.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
A. F. Anderson
Transepiphyseal Replacement of the Anterior Cruciate Ligament Using Quadruple Hamstring Grafts in Skeletally Immature Patients
J. Bone Joint Surg. Am., September 1, 2004; 86(1_suppl_2): 201 - 209.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
V. Guzzanti, F. Falciglia, and C. L. Stanitski
Preoperative Evaluation and Anterior Cruciate Ligament Reconstruction Technique for Skeletally Immature Patients in Tanner Stages 2 and 3
Am. J. Sports Med., November 1, 2003; 31(6): 941 - 948.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
V. Guzzanti, F. Falciglia, and C. L. Stanitski
Physeal-Sparing Intraarticular Anterior Cruciate Ligament Reconstruction in Preadolescents
Am. J. Sports Med., November 1, 2003; 31(6): 949 - 953.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
A. F. Anderson
Transepiphyseal Replacement of the Anterior Cruciate Ligament in Skeletally Immature Patients: A Preliminary Report
J. Bone Joint Surg. Am., July 3, 2003; 85(7): 1255 - 1263.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
T. B. Edwards, C. C. Greene, R. V. Baratta, A. Zieske, and R. B. Willis
The Effect of Placing a Tensioned Graft Across Open Growth Plates : A Gross and Histologic Analysis
J. Bone Joint Surg. Am., May 1, 2001; 83(5): 725 - 734.
[Abstract] [Full Text] [PDF]