We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Posterior cruciate ligament reconstruction in skeletal immature children.
- Authors
Sørensen, Ole; Faunø, Peter; Christiansen, Svend; Lind, Martin; Sørensen, Ole Gade; Christiansen, Svend Erik
- Abstract
<bold>Purpose: </bold>Rupture of the posterior cruciate ligament (PCL) is a rare knee injury in children with open growth plates. The follow-up results of six patients with open physes treated with PCL reconstruction are presented. The objective is to evaluate the clinical outcomes of PCL reconstruction for six skeletally immature patients.<bold>Methods: </bold>Between 2006 and 2010, six skeletally immature patients were treated with PCL reconstruction. At the time of surgery, the median age was 9 years (range 6-14). The median follow-up time after surgery was 50 months (range 41-90). Outcomes were evaluated by KOOS and Tegner scores, instrumented knee laxity, and radiologic long-axis leg length measurements.<bold>Results: </bold>The median KOOS score at follow-up was 88 (range 26-98). The median Tegner score was 6 (range 4-7). The median side-to-side difference in laxity according to KT-1000 was 2 mm (range 1-5) at 25° of flexion and 3 mm (range 3-6) at 70° of flexion. A median side-to-side difference in flexion of 8° was found. All but one patient had returned to playing sports at follow-up. One patient's index leg had a length discrepancy of 16 mm.<bold>Conclusions: </bold>PCL reconstruction resulted in fair to good clinical outcomes for skeletally immature children. Clinically relevant leg length discrepancy was found in one of the six patients examined in this study.<bold>Level Of Evidence: </bold>Level IV.
- Subjects
POSTERIOR cruciate ligament; KNEE injuries; POSTERIOR cruciate ligament injuries; POSTERIOR cruciate ligament surgery; JOINT hypermobility; PATIENTS; THERAPEUTICS; RANGE of motion of joints; LEG length inequality; LONGITUDINAL method; SPORTS; SURGICAL complications; TREATMENT effectiveness
- Publication
Knee Surgery, Sports Traumatology, Arthroscopy, 2017, Vol 25, Issue 12, p3901
- ISSN
0942-2056
- Publication type
journal article
- DOI
10.1007/s00167-016-4416-3