This Article Full Text Full Text (PDF) Letters to the Editor: Submit a response Alert me when this article is cited Alert me when Letters to the Editor are posted Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My File Cabinet Download to citation manager Reprints and Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by KOMAN, J. D. Articles by SANDERS, J. O. Search for Related Content PubMed PubMed Citation Articles by KOMAN, J. D. Articles by SANDERS, J. O. Social Bookmarking             What's this?

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

JON D. KOMAN, M.D. and JAMES O. SANDERS, M.D., 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 children^3,5. However, intrasubstance ruptures of the anterior cruciate ligament can occur in young patients^{1,2,4,6-8,11-17,19}. 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 treatment^{1,2,4,6-8,11-17,19}. 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]

CiteULike    Connotea    Del.icio.us    Technorati    What's this?

This article has been cited by other articles:

				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]

				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]

				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]

				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]

				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]

				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]

				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]

				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]

				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]

				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]

				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]

				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]

				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]

				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]

Stanford University Libraries' HighWire Press (TM) assists in the publication of JBJS Online.
Copyright © 1999 by The Journal of Bone and Joint Surgery, Inc. Online ISSN: 1535-1386.
The Journal of Bone and Joint Surgery®, JBJS®, JB&JS®, and eJBJS® are registered in the U.S. Patent and Trademark Office.