پارگي رباط ضربدري جلويي در نوجوانان

Anterior Cruciate Ligament Tear in the Adolescents

Background: Anterior Cruciate Ligament injury in adolescents is often an avulsion injury. Mid substance tear is, however, a serious injury. This is a report of 67 patients between 11 to 16 years of age with midsubstance tear of the ligament. Material and Methods: In a retrospective review 67 adolescents with mid substance anterior cruciate ligament (ACL) injury sustained between 1980-1990 were evaluated. 27 had received non-surgical treatment and were assessed with a mean follow up of 70 months. 45 patients on the other hand, had undergone reconstruction with 4-strand Hamstring Tendon graft. This group had 49 months average follow-up. Results: In the conservatively treated ACL group 4 cases required menisectomy, the majority did not return to their sporting activities, only 33% were IKDC group A and 58% were group B, and degenerative changes were recognized in 10 cases on radiography. .In the. reconstructed group 87% returned to their pre-injury sports, 45% had IKDC scoring of group A, and 32% group B. No new knee injury, and no physeal growth disturbance was observed in this group. Conclusion: Anterior Cruciate Ligament injury in people with open physeal plate is a serious injury and requires early surgical reconstruction, especially in active children. 4-strand Hamstring tendon transplant produces good stabilization and protects the knee against new meniscus injury and early degenerative changes.