[Results of ACL reconstruction with a periost-patella tendon-periost graft in growth age]

Z Orthop Unfall. 2007 Nov-Dec;145(6):706-11. doi: 10.1055/s-2007-965684.
[Article in German]

Abstract

Aim: The results of 16 patients in growth age (mean age at surgery 13.7 years) with an ACL rupture that was treated with an ACL reconstruction using an periost-patella tendon-periost graft were reviewed.

Results: The follow-up was done 12 months postoperatively. All patients were satisfied with the result of the surgery. No leg length differences or abnormalities of the axis were found. 14 patients had already regained their original sports level. In the Tegner score, an average level of 8 was reached and a mean of 97 points in the Lysholm score. In the IKDC score we found a level of A (normal) 9 times and of B (nearly normal) 7 times.

Conclusion: These follow-up examinations show that the treatment of an ACL rupture in growth age with a periost-patella tendon-periost graft leads to good results. It is a good alternative to the other methods (e.g., semitendinosus). Today, it can be regarded as a standard that an ACL rupture with open growth plates should be treated operatively.

MeSH terms

  • Adolescent
  • Anterior Cruciate Ligament / surgery*
  • Anterior Cruciate Ligament Injuries*
  • Arthroscopy*
  • Bone Screws
  • Child
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Patellar Ligament / transplantation*
  • Periosteum / transplantation*
  • Postoperative Complications / etiology
  • Rupture
  • Suture Anchors
  • Tissue and Organ Harvesting