All-Inside Partial Epiphyseal Anterior Cruciate Ligament Reconstruction Plus an Associated Modified Lemaire Procedure Sutured to the Femoral Button

Anterior cruciate ligament (ACL) tears in skeletally immature patients are on the rise; pediatric athletes are now in constant year-round sports participation. Nonoperative treatment may lead to poor functional outcomes and an increase in associated intra-articular lesions and sometimes can cause dr...

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Autores principales: Leyes Vence, Manuel, Roca Sanchez, Tomas, Flores Lozano, Cesar, Villarreal Villareal, Gregorio
Formato: Artículo
Lenguaje:inglés
Publicado: Elsevier 2019
Materias:
Acceso en línea:http://eprints.uanl.mx/20150/1/1-s2.0-S221262871930009X-main.pdf
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author Leyes Vence, Manuel
Roca Sanchez, Tomas
Flores Lozano, Cesar
Villarreal Villareal, Gregorio
author_facet Leyes Vence, Manuel
Roca Sanchez, Tomas
Flores Lozano, Cesar
Villarreal Villareal, Gregorio
author_sort Leyes Vence, Manuel
collection Repositorio Institucional
description Anterior cruciate ligament (ACL) tears in skeletally immature patients are on the rise; pediatric athletes are now in constant year-round sports participation. Nonoperative treatment may lead to poor functional outcomes and an increase in associated intra-articular lesions and sometimes can cause drop-out from sports activity. The treatment of these injuries is not at all clear, and appropriate guidelines do not exist. Physeal-sparing and partial physeal-sparing techniques have been described. Concerns about restoring normal knee kinematics with the previously described ACL reconstruction (ACLR) techniques are open to debate. We describe a partial epiphyseal ACLR to be done in skeletally immature patients involved in highly demanding sport activities. This technique is performed with an extraphyseal femoral tunnel drilled retrograde, a transphyseal tibial tunnel, and a retrograde tibial drilling without trespassing the tibial physis. We added a modified Lemaire procedure to improve rotational instability to the previously performed ACLR.
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spelling eprints-201502023-04-27T18:24:35Z http://eprints.uanl.mx/20150/ All-Inside Partial Epiphyseal Anterior Cruciate Ligament Reconstruction Plus an Associated Modified Lemaire Procedure Sutured to the Femoral Button Leyes Vence, Manuel Roca Sanchez, Tomas Flores Lozano, Cesar Villarreal Villareal, Gregorio RD Cirugía Anterior cruciate ligament (ACL) tears in skeletally immature patients are on the rise; pediatric athletes are now in constant year-round sports participation. Nonoperative treatment may lead to poor functional outcomes and an increase in associated intra-articular lesions and sometimes can cause drop-out from sports activity. The treatment of these injuries is not at all clear, and appropriate guidelines do not exist. Physeal-sparing and partial physeal-sparing techniques have been described. Concerns about restoring normal knee kinematics with the previously described ACL reconstruction (ACLR) techniques are open to debate. We describe a partial epiphyseal ACLR to be done in skeletally immature patients involved in highly demanding sport activities. This technique is performed with an extraphyseal femoral tunnel drilled retrograde, a transphyseal tibial tunnel, and a retrograde tibial drilling without trespassing the tibial physis. We added a modified Lemaire procedure to improve rotational instability to the previously performed ACLR. Elsevier 2019 Article PeerReviewed text en cc_by_nc_nd http://eprints.uanl.mx/20150/1/1-s2.0-S221262871930009X-main.pdf http://eprints.uanl.mx/20150/1.haspreviewThumbnailVersion/1-s2.0-S221262871930009X-main.pdf Leyes Vence, Manuel y Roca Sanchez, Tomas y Flores Lozano, Cesar y Villarreal Villareal, Gregorio (2019) All-Inside Partial Epiphyseal Anterior Cruciate Ligament Reconstruction Plus an Associated Modified Lemaire Procedure Sutured to the Femoral Button. Arthroscopy techniques, 8 (5). e473-e480. ISSN 2212-6287 http://doi.org/10.1016/j.eats.2019.01.003 doi:10.1016/j.eats.2019.01.003
spellingShingle RD Cirugía
Leyes Vence, Manuel
Roca Sanchez, Tomas
Flores Lozano, Cesar
Villarreal Villareal, Gregorio
All-Inside Partial Epiphyseal Anterior Cruciate Ligament Reconstruction Plus an Associated Modified Lemaire Procedure Sutured to the Femoral Button
thumbnail https://rediab.uanl.mx/themes/sandal5/images/online.png
title All-Inside Partial Epiphyseal Anterior Cruciate Ligament Reconstruction Plus an Associated Modified Lemaire Procedure Sutured to the Femoral Button
title_full All-Inside Partial Epiphyseal Anterior Cruciate Ligament Reconstruction Plus an Associated Modified Lemaire Procedure Sutured to the Femoral Button
title_fullStr All-Inside Partial Epiphyseal Anterior Cruciate Ligament Reconstruction Plus an Associated Modified Lemaire Procedure Sutured to the Femoral Button
title_full_unstemmed All-Inside Partial Epiphyseal Anterior Cruciate Ligament Reconstruction Plus an Associated Modified Lemaire Procedure Sutured to the Femoral Button
title_short All-Inside Partial Epiphyseal Anterior Cruciate Ligament Reconstruction Plus an Associated Modified Lemaire Procedure Sutured to the Femoral Button
title_sort all inside partial epiphyseal anterior cruciate ligament reconstruction plus an associated modified lemaire procedure sutured to the femoral button
topic RD Cirugía
url http://eprints.uanl.mx/20150/1/1-s2.0-S221262871930009X-main.pdf
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