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...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2019
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| Online Access: | http://eprints.uanl.mx/20150/1/1-s2.0-S221262871930009X-main.pdf |
| _version_ | 1824415765227372544 |
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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. |
| format | Article |
| id | eprints-20150 |
| institution | UANL |
| language | English |
| publishDate | 2019 |
| publisher | Elsevier |
| record_format | eprints |
| 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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