All Inside Intraepiphyseal ACL Reconstruction Using Flexible Curved Instrumentation and Intraoperative Fluoroscopy in a Skeletally Immature Patient. (21st April 2021)

• Record Type: Journal Article
• Authors: Puzzitiello, Richard N.; Agarwalla, Avinesh; Garcia, Grant; Forlenza, Enrico M.; Forsythe, Brian
• Other Names: Mayr Johannes Academic Editor.
• Is Part Of: Case reports in orthopedics. Volume 2021(2021)
• Publication Date: 2021-04-21
• Subjects: Orthopedics -- Periodicals; Orthopedics; Orthopedics; Periodicals; Electronic journals; Periodicals; 616.7
• DOI: 10.1155/2021/3956524
• Languages: English
• ISSNs: 2090-6749

Abstract

Abstract : Case . A 13-year-old skeletally immature female presenting with an anterior cruciate ligament (ACL) rupture after a noncontact injury was treated with an intraepiphyseal ACL reconstruction. Flexible instrumentation was utilized to drill a femoral tunnel with an anatomic starting point, with a trajectory that curved inferolaterally away from the physis. At three years postoperatively, she had returned to her preinjury functioning and did not display any lower limb length growth abnormalities. Conclusions . The novel application of curved guides and flexible instruments, with intraoperative fluoroscopy, facilitated growth plate avoidance and a successful outcome of ACL reconstruction in a skeletally immature patient.