Arthroscopic Treatment of an Anterior Cruciate Ligament Avulsion Fracture in a Skeletally Immature Patient

• Published in: Orthopedics (Thorofare, N.J.) Vol. 35; no. 7; pp. 589 - 592
• Main Authors: Kwon, Oh Soo, Kamath, Atul F, Kelly, 4th, John D
• Format: Journal Article
• Language: English
• Published: Thorofare, NJ Slack 01.07.2012; SLACK INCORPORATED
• Subjects: Age Determination by Skeleton; Anesthesia; Anterior Cruciate Ligament - diagnostic imaging; Anterior Cruciate Ligament - surgery; Anterior Cruciate Ligament Injuries; Anterior Cruciate Ligament Reconstruction - methods; Arthroscopy; Arthroscopy - methods; Athletic Injuries - diagnostic imaging; Athletic Injuries - surgery; Biological and medical sciences; Child; Diseases of the osteoarticular system; Endoscopy; Female; Fractures; Humans; Injuries; Injuries of the limb. Injuries of the spine; Investigative techniques, diagnostic techniques (general aspects); Knee; Knee Injuries - diagnosis; Knee Injuries - surgery; Ligaments; Medical sciences; Patients; Tibia - diagnostic imaging; Tibia - injuries; Tibia - surgery; Traumas. Diseases due to physical agents; Treatment Outcome; Florida; United States > US; Human; Arthroscopy; Avulsion fracture; Treatment; Orthopedics; Diseases of the osteoarticular system; Endoscopy; Anterior cruciate ligament
• ISSN: 0147-7447; 1938-2367
• DOI: 10.3928/01477447-20120621-04

Anterior cruciate ligament injuries in skeletally immature patients usually involve tibial bony avulsion fractures rather than the midsubstance tears usually observed in adults. Several surgical techniques have been reported to provide stable fixation and avoid physeal injury in this pediatric population. The authors propose a novel, reproducible surgical technique using bioabsorbable anchors to obtain biomechanical stability and minimal physeal or articular cartilage damage.