Reconstrucción de LCA mediante técnica epifisaria todo-adentro en pacientes con fisis abierta

Abstract

Anterior cruciate ligament (ACL) injuries are an increasingly recognized problem in the juvenile population. Unfortunately, outcomes with conservative treatment are extremely poor. Adult reconstruction techniques are inappropriate to treat skeletally immature patients due to the risk of growth disturbances, including limb-length discrepancy and angular deformities. A considerable number of Physeal-sparing reconstruction techniques have been described, but their ability to restore knee joint stability is not well understood. We present a combined epiphyseal ACL reconstruction technique in skeletally immature patients, with an all-inside technique where both femoral and tibial tunnels drilled retrograde; both tunnels are entirely within the epiphysis. Cortical button fixation of the hamstring autograft is achieved on the femur and tibia.