دورية أكاديمية

Intraarticular hamstring graft diameter decreases with continuing knee growth after ACL reconstruction with open physes.

التفاصيل البيبلوغرافية
العنوان: Intraarticular hamstring graft diameter decreases with continuing knee growth after ACL reconstruction with open physes.
المؤلفون: Astur DC; Universidade Federal de São Paulo/Escola Paulista de Medicina, Av Pacaembu 1024, São Paulo, SP, 01234-000, Brazil. mcastur@yahoo.com., Arliani GG; Universidade Federal de São Paulo/Escola Paulista de Medicina, Av Pacaembu 1024, São Paulo, SP, 01234-000, Brazil. ggarliani@hotmail.com., Debieux P; Universidade Federal de São Paulo/Escola Paulista de Medicina, Av Pacaembu 1024, São Paulo, SP, 01234-000, Brazil. pedrodebieux@yahoo.com.br., Kaleka CC; Instituto Cohen, São Paulo, Brazil. camilacohen@kaleka.com.br., Amaro JT; Instituto Cohen, São Paulo, Brazil. joicemar@uol.com.br., Cohen M; Universidade Federal de São Paulo/Escola Paulista de Medicina, Av Pacaembu 1024, São Paulo, SP, 01234-000, Brazil. m.cohen@uol.com.br.
المصدر: Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA [Knee Surg Sports Traumatol Arthrosc] 2016 Mar; Vol. 24 (3), pp. 792-5. Date of Electronic Publication: 2016 Feb 10.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer International Country of Publication: Germany NLM ID: 9314730 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1433-7347 (Electronic) Linking ISSN: 09422056 NLM ISO Abbreviation: Knee Surg Sports Traumatol Arthrosc Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [Heidelberg, Germany] : Springer International, c1993-
مواضيع طبية MeSH: Anterior Cruciate Ligament Reconstruction* , Magnetic Resonance Imaging*, Knee Joint/*growth & development , Tendons/*anatomy & histology , Tendons/*transplantation, Adolescent ; Anterior Cruciate Ligament/surgery ; Female ; Follow-Up Studies ; Humans ; Knee Joint/surgery ; Male
مستخلص: Purpose: To evaluate the graft diameter size after one-year follow-up or more of patients Tanner II, III, and IV who were submitted to anterior cruciate ligament reconstruction.
Methods: Ten patients [five males (mean age: 14.4 years) and five females (mean age: 13.6 years)] with open physis and anterior cruciate ligament tear were submitted to transphyseal anterior cruciate ligament reconstruction with quadruple hamstrings graft. During the procedure, graft and tunnel size were recorded. After last clinical follow-up (range 1-11 years), an MRI study was requested and their measurements near the tibial tunnel were compared with the graft diameter measured and used during primary procedure.
Results: Four patients had Tanner stage II, four patients Tanner stage III, and two Tanner IV. There were statistically significant decreases in the quadruple hamstrings graft diameter size (average of 25.3%). Mean size at time of surgery was 7.9 mm (±0.87), and mean size measured at different points of follow-up evaluation was 5.9 mm (±0.65).
Conclusion: Diameter size of hamstring graft in skeletally immature patients is smaller in most cases. If there is a decrease in the diameter of the graft along postoperative time, the risk of a re-rupture is theoretically further increased. Quadruple hamstring graft decreases a mean 25.3% in diameter from time of anterior cruciate ligament reconstruction surgery until reassessment period in skeletally immature patients.
Level of Evidence: IV.
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فهرسة مساهمة: Keywords: ACL reconstruction; Anterior cruciate ligament; Children; Graft evaluation; Open physis; Tanner stage
تواريخ الأحداث: Date Created: 20160211 Date Completed: 20161013 Latest Revision: 20181202
رمز التحديث: 20221213
DOI: 10.1007/s00167-016-4030-4
PMID: 26860290
قاعدة البيانات: MEDLINE
الوصف
تدمد:1433-7347
DOI:10.1007/s00167-016-4030-4