Double-Bundle Anterior Cruciate Ligament Reconstruction in a Skeletally Immature Adolescent Athlete

Gian M. Salzmann; Jeffrey T. Spang; Andreas B. Imhoff

doi:10.1016/j.arthro.2008.11.008

Double-Bundle Anterior Cruciate Ligament Reconstruction in a Skeletally Immature Adolescent Athlete

Gian M. Salzmann, Jeffrey T. Spang, Andreas B. Imhoff

Associate Professorship of Sports Orthopaedy

Research output: Contribution to journal › Article › peer-review

14 Scopus citations

Abstract

We present a technique for double-bundle anterior cruciate ligament (ACL) reconstruction in a 14-year-old female athlete. The patient presented with anterolateral knee rotatory instability following a traumatic injury suffered while practicing judo. The clinical examination revealed positive Lachman and pivot shift tests with no accompanying meniscal pathology. Roentgenograms revealed open physes, and magnetic resonance imaging scans confirmed an isolated midsubstance ACL tear without cartilaginous injury. The decision was made to anatomically reconstruct the ACL because the athlete wished to continue competitive judo. Autologous hamstring tendons were harvested for double-bundle ACL repair. Following arthroscopic retrograde femoral and antegrade tibial tunnel placement, the ligaments were secured using interference screws within the femoral and tibial epiphysis. Postoperative Lachman and pivot shift tests were negative.

Original language	English
Pages (from-to)	321-324
Number of pages	4
Journal	Arthroscopy - Journal of Arthroscopic and Related Surgery
Volume	25
Issue number	3
DOIs	https://doi.org/10.1016/j.arthro.2008.11.008
State	Published - Mar 2009

Keywords

Anterior cruciate ligament
Double-bundle
Immature
Physis
Reconstruction

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10.1016/j.arthro.2008.11.008

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abstract = "We present a technique for double-bundle anterior cruciate ligament (ACL) reconstruction in a 14-year-old female athlete. The patient presented with anterolateral knee rotatory instability following a traumatic injury suffered while practicing judo. The clinical examination revealed positive Lachman and pivot shift tests with no accompanying meniscal pathology. Roentgenograms revealed open physes, and magnetic resonance imaging scans confirmed an isolated midsubstance ACL tear without cartilaginous injury. The decision was made to anatomically reconstruct the ACL because the athlete wished to continue competitive judo. Autologous hamstring tendons were harvested for double-bundle ACL repair. Following arthroscopic retrograde femoral and antegrade tibial tunnel placement, the ligaments were secured using interference screws within the femoral and tibial epiphysis. Postoperative Lachman and pivot shift tests were negative.",

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Double-Bundle Anterior Cruciate Ligament Reconstruction in a Skeletally Immature Adolescent Athlete

Abstract

Keywords

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