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Multicenter-study of operative treatment of intraligamentous tears of the anterior cruciate ligament in children and adolescents : Comparison of four different techniques

Gebhard, F. ; Ellermann, A. ; Hoffmann, F. ; Jaeger, J.-H ; Friederich, N.

In: Knee Surgery, Sports Traumatology, Arthroscopy, 2006, vol. 14, no. 9, p. 797-803

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    Titre
    • Multicenter-study of operative treatment of intraligamentous tears of the anterior cruciate ligament in children and adolescents
      Comparison of four different techniques
    Auteur
    • Gebhard, F.. Department of Orthopaedics and Traumatology, Kantonsspital Bruderholz, 4101, Bruderholz, Switzerland
    • Ellermann, A.. Arcus Sportsclinic, Pforzheim, Germany
    • Hoffmann, F.. Department of Orthopaedic Surgery, Rosenheim, Germany
    • Jaeger, J.-H. Department of Orthopaedic Surgery, University-Hospital, Strasbourg, France
    • Friederich, N.. Department of Orthopaedics and Traumatology, Kantonsspital Bruderholz, 4101, Bruderholz, Switzerland
    Type de document
    • Postprint
    Langue
    • Inglese
    Publié dans
    • Knee Surgery, Sports Traumatology, Arthroscopy, 2006, vol. 14, no. 9, p. 797-803. Springer-Verlag
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:310365
    Summary
    Tears of the anterior cruciate ligament in skeletally immature patients were operated with four different methods and their outcome compared to each other. Sixty-eight patients (33 males, 35 females), mean 12.5years, were treated in four different centers from 1984 to 2001. Twenty-eight patients underwent the ACL-reconstruction with hamstring grafts, 16 patients with bone-patella-bone autografts, 12 patients with quadriceps grafts and 12 patients with facia lata. The mean follow-up was 32months. Postoperative evaluation included radiographs, KT-1000/2000 stability measurements, Lysholm score, The Tegner activity scale and IKDC score. Neither leg length discrepancy nor angular deformities were noted. Mean KT-1000 difference was 2.1mm, mean postoperative Lysholm knee score 93.3, IKDC 87% normal or nearly normal. The Tegner index decreased from 6.6 to 5.7. In total, six patients developed instability due to an adequate trauma 1year after the index operation. Two patients showed mild arthrotic changes. All but two patients were able to return to the same level of preoperative sports participation. None of the four methods studied showed major differences in outcome compared to the other. No growth disturbance could be noted