All Inside Intraepiphyseal ACL Reconstruction Using Flexible Curved Instrumentation and Intraoperative Fluoroscopy in a Skeletally Immature Patient

CASE: A 13-year-old skeletally immature female presenting with an anterior cruciate ligament (ACL) rupture after a noncontact injury was treated with an intraepiphyseal ACL reconstruction. Flexible instrumentation was utilized to drill a femoral tunnel with an anatomic starting point, with a traject...

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Detalles Bibliográficos
Autores principales: Puzzitiello, Richard N., Agarwalla, Avinesh, Garcia, Grant, Forlenza, Enrico M., Forsythe, Brian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8081639/
https://www.ncbi.nlm.nih.gov/pubmed/33968455
http://dx.doi.org/10.1155/2021/3956524
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author Puzzitiello, Richard N.
Agarwalla, Avinesh
Garcia, Grant
Forlenza, Enrico M.
Forsythe, Brian
author_facet Puzzitiello, Richard N.
Agarwalla, Avinesh
Garcia, Grant
Forlenza, Enrico M.
Forsythe, Brian
author_sort Puzzitiello, Richard N.
collection PubMed
description CASE: A 13-year-old skeletally immature female presenting with an anterior cruciate ligament (ACL) rupture after a noncontact injury was treated with an intraepiphyseal ACL reconstruction. Flexible instrumentation was utilized to drill a femoral tunnel with an anatomic starting point, with a trajectory that curved inferolaterally away from the physis. At three years postoperatively, she had returned to her preinjury functioning and did not display any lower limb length growth abnormalities. CONCLUSIONS: The novel application of curved guides and flexible instruments, with intraoperative fluoroscopy, facilitated growth plate avoidance and a successful outcome of ACL reconstruction in a skeletally immature patient.
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spelling pubmed-80816392021-05-06 All Inside Intraepiphyseal ACL Reconstruction Using Flexible Curved Instrumentation and Intraoperative Fluoroscopy in a Skeletally Immature Patient Puzzitiello, Richard N. Agarwalla, Avinesh Garcia, Grant Forlenza, Enrico M. Forsythe, Brian Case Rep Orthop Case Report CASE: A 13-year-old skeletally immature female presenting with an anterior cruciate ligament (ACL) rupture after a noncontact injury was treated with an intraepiphyseal ACL reconstruction. Flexible instrumentation was utilized to drill a femoral tunnel with an anatomic starting point, with a trajectory that curved inferolaterally away from the physis. At three years postoperatively, she had returned to her preinjury functioning and did not display any lower limb length growth abnormalities. CONCLUSIONS: The novel application of curved guides and flexible instruments, with intraoperative fluoroscopy, facilitated growth plate avoidance and a successful outcome of ACL reconstruction in a skeletally immature patient. Hindawi 2021-04-21 /pmc/articles/PMC8081639/ /pubmed/33968455 http://dx.doi.org/10.1155/2021/3956524 Text en Copyright © 2021 Richard N. Puzzitiello et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Puzzitiello, Richard N.
Agarwalla, Avinesh
Garcia, Grant
Forlenza, Enrico M.
Forsythe, Brian
All Inside Intraepiphyseal ACL Reconstruction Using Flexible Curved Instrumentation and Intraoperative Fluoroscopy in a Skeletally Immature Patient
title All Inside Intraepiphyseal ACL Reconstruction Using Flexible Curved Instrumentation and Intraoperative Fluoroscopy in a Skeletally Immature Patient
title_full All Inside Intraepiphyseal ACL Reconstruction Using Flexible Curved Instrumentation and Intraoperative Fluoroscopy in a Skeletally Immature Patient
title_fullStr All Inside Intraepiphyseal ACL Reconstruction Using Flexible Curved Instrumentation and Intraoperative Fluoroscopy in a Skeletally Immature Patient
title_full_unstemmed All Inside Intraepiphyseal ACL Reconstruction Using Flexible Curved Instrumentation and Intraoperative Fluoroscopy in a Skeletally Immature Patient
title_short All Inside Intraepiphyseal ACL Reconstruction Using Flexible Curved Instrumentation and Intraoperative Fluoroscopy in a Skeletally Immature Patient
title_sort all inside intraepiphyseal acl reconstruction using flexible curved instrumentation and intraoperative fluoroscopy in a skeletally immature patient
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8081639/
https://www.ncbi.nlm.nih.gov/pubmed/33968455
http://dx.doi.org/10.1155/2021/3956524
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