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청소년에서 성장판 손상을 최소화하는 전방십자인대 복원술 -수술 술기 보고-
전재균 ( Je Gyun Chon ),윤영필 ( Young Phil Yune ),이철형 ( Chul Hyung Lee ),강현석 ( Hyoun Suk Kang ),정현석 ( Hyeon Seok Jeong ),정현윤 ( Hyun Yoon Jeong ) 대한슬관절학회 2008 대한슬관절학회지 Vol.20 No.2
Substantial ACL ruptures are not common in adolescence or childhood. During this period, ACL tibia avulsion fractures are more common than substantial ACL ruptures are. However, recent advancements in MRI and increases in adolescent sports activity have led to increased diagnosis of substantial ACL ruptures. Many physeal-sparing ACL reconstruction methods have been reported. However, some physeal-sparing ACL reconstructions are associated with poor outcomes because of laxity in the reconstructed ligament and discordance in the isometric point. We report a 14-year-old male patient with a chronic substantial ACL rupture and a longitudinal medial meniscus tear who was treated with ACL reconstruction and all-inside meniscal repair, which spares the femoral physis and reduces tibia physeal injury with an Achilles allograft.