Les ruptures du liagement croisé antérieur (LCA) pendant la croissance.

Translated title of the contribution: Ruptures of the anterior cruciate ligament (ACL) during growth

R. Seil*, D. Kohn

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

21 Citations (Scopus)

Abstract

Tears of the anterior cruciate ligament (ACL) in skeletally immature patients with open physes are becoming more frequent. The two main variants of this lesion include tibial eminence fractures with an avulsion of the bony avulsions of the ACL on the tibia and midsubstance ligament injuries. The treatment of bony avulsions is generally accepted. In complete midsubstance tears conservative treatment is insufficient, resulting in multiple giving way episodes and meniscal lesions. Controversy exists regarding the surgical treatment of complete midsubstance ruptures. Especially in younger patients with wide open physes, the risk of a growth disturbance due to transphyseal drilling has not been completely evaluated. In patients approaching physeal closure intraarticular ACL replacement using an autogenous bone-patellar tendon-bone graft has been shown to yield good short-term to mid-term results. There is a growing concern regarding the long-term outcome of ACL grafts with higher rerupture rates being suspected in children compared to adults. For these reasons more clinical and experimental data are needed in forthcoming studies.

Translated title of the contributionRuptures of the anterior cruciate ligament (ACL) during growth
Original languageFrench
Pages (from-to)39-53
Number of pages15
JournalBulletin de la Société des Sciences Médicales du Grand-Duché de Luxembourg
Issue number1
Publication statusPublished - 2000
Externally publishedYes

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