A physeal-sparing fibular collateral ligament and proximal tibiofibular joint reconstruction in a skeletally immature athlete

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• 作者：Brady T. Williams ; Evan W. James…
• 关键词：Open physes ; Posterolateral corner ; Fibular collateral ligament ; Proximal tibiofibular joint ; Anterior cruciate ligament avulsion ; Reconstruction
• 刊名：Knee Surgery, Sports Traumatology, Arthroscopy
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：24
• 期：3
• 页码：661-665
• 全文大小：636 KB
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• 作者单位：Brady T. Williams (1)
  Evan W. James (1)
  Robert F. LaPrade (1) (2)
  
  1. Department of BioMedical Engineering, Center for Outcomes-Based Orthopaedic Research, Steadman Philippon Research Institute, 181 W. Meadow Drive, Suite 1000, Vail, CO, 81657, USA
  2. The Steadman Clinic, 181 W. Meadow Drive Suite 400, Vail, CO, 81657, USA
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Orthopedics
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1433-7347

文摘

The purpose of this report was to describe the surgical technique for and outcomes after a modified physeal-sparing posterolateral corner reconstruction in a 12-year-old skeletally immature male with a mid-substance fibular collateral ligament tear, a proximal posterior tibiofibular ligament tear, and an anterior cruciate ligament avulsion fracture of the medial tibial eminence. A modified physeal-sparing posterolateral corner reconstruction was used to provide a near-anatomic reconstruction of the fibular collateral ligament and proximal posterior tibiofibular ligament. An anterior cruciate ligament repair was also performed. Varus stress radiographs obtained at 6 months postoperatively demonstrated resolution of lateral knee stability. Physical examination results demonstrated stability to anterior tibial translation and a stable proximal tibiofibular joint. Computed tomography showed that the surgical technique successfully avoided breeching the patient’s physes.