Recently published data indicated transphyseal ACL reconstruction offered a safe option that provided positive outcomes at long-term follow-up in skeletally immature patients.
Researchers evaluated 27 patients (average age: 13 years) who underwent ACL reconstruction with autograft hamstrings between January 1998 and July 2001. Average follow-up time was 10.6 years. Clinical outcomes were determined via Tegner, IKDC and Lysholm values. Other factors evaluated included surgical details, return-to-play, anteroposterior knee laxity, deformities or leg length discrepancies, and evidence of degeneration.
Significant changes were noted in average Tegner, IKDC and Lysholm values from preoperative levels (7, 55 and 40, respectively) at final follow-up (6, 94 and 92, respectively). ACL graft rupture was observed in three patients, whereas leg instability while participating in sports was observed in two. Evidence of chondral lesions in the medial femoral condyle that required subsequent intervention was observed in two patients.
According to the researchers, no instances of leg-length discrepancy, axis misalignment or degenerative changes were observed during the study period. – by Christian Ingram
Disclosure: The authors report no relevant financial disclosures.