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Page 28

Volume 3

Pulsus Journal of Surgical Research

Osteoporosis 2019

March 13-14, 2019

Osteoporosis, Arthritis and Musculoskeletal Disorders

March 13-14, 2019, London, UK

12

th

International Conference on

The “over the top” anterior cruciate ligament reconstruction in patients with open physes: A long term

follow up study

Federico Milazzo

University of Perugia, Italy

A

CL rupture in skeletally immature athletes is becoming an injury with increasing incidence. Choices of treatments are still

debated, including conservative management vs various surgical techniques. Lack of long-term reports has been highlighted

in the literature. Aim: to evaluate long-term results of Anterior Cruciate Ligament (ACL) reconstructions in skeletally immature

patients by using the “over the top” technique. Retrospective study. All surgeries performed by same team. 42 patients met inclusion

criteria. All patients had preoperative radiological studies. 30 males-12 females. Average age: 12.5 years (range 11-14 years). Average

follow-up: 96.1 months. Clinical evaluation: IKDC, Tegner-Lysholm, KT-1000, plain radiographs. Standardized rehabilitation

protocol. No instability nor leg length discrepancy recorded. Muscle hypotrophy of operated limb: 20 cases. No revision surgery.

Average pre-op Tegner-Lysholm and IKDC: 55 and 40; 94.8 (p<0.05) and 94.78 at final follow-up (p<0.05). Median post-op Tegner:

8. Mean side-to-side (KT-1000): 1,2mm.22 patients could go back to pre-injury sport activity. Average rehabilitation: 7.3 months.

Few complications: 2 patients re-injured the operated knee (revision surgery needed); one contralateral ACL rupture, 1 soft tissue

infection. No metalwork failure. A significant amount of cases (comparing our study to majority of published works) was included.

Functional scores were overall satisfactory. No significance differences between operated limb and unaffected leg at final follow-up.

All knees clinically stable. Our study boasts of well-structured and standardized long-term follow-up. The best possible methodology

with clear inclusion-exclusion criteria and prospective data collection were used. Good results are testified by final achievement of 22

patients to go back to pre-injury sport activity in keeping with literature. The studied procedure seems an excellent option strategy

and a feasible and safe technique when treating ruptured ACLs in scheletally immature patients. This is testified by good objective

and subjective outcomes (medium and long-term).

arifguldr@gmail.com

Pulsus J Surg Res, Volume 3