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

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

Author Astur, Diego Costa Autor UNIFESP Google Scholar
Arliani, Gustavo Gonçalves Autor UNIFESP Google Scholar
Debieux, Pedro Autor UNIFESP Google Scholar
Kaleka, Camila Cohen Google Scholar
Amaro, Joicemar Tarouco Google Scholar
Cohen, Moises Autor UNIFESP Google Scholar
Abstract 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. 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. 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). 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. IV.
Keywords Anterior cruciate ligament
Tanner stage
ACL reconstruction
Open physis
Children
Graft evaluation
xmlui.dri2xhtml.METS-1.0.item-coverage New York
Language English
Date 2016
Published in Knee Surgery Sports Traumatology Arthroscopy. New York, v. 24, n. 3, p. 792-795, 2016.
ISSN 0942-2056 (Sherpa/Romeo, impact factor)
Publisher Springer
Extent 792-795
Origin https://dx.doi.org/10.1007/s00167-016-4030-4
Access rights Closed access
Type Article
Web of Science ID WOS:000371300400024
URI https://repositorio.unifesp.br/handle/11600/57825

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