Transepiphyseal Replacement of the Anterior Cruciate Ligament Using Quadruple Hamstring Grafts in Skeletally Immature Patients by Allen F. Anderson J Bone.

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Presentation transcript:

Transepiphyseal Replacement of the Anterior Cruciate Ligament Using Quadruple Hamstring Grafts in Skeletally Immature Patients by Allen F. Anderson J Bone Joint Surg Am Volume 86(1 suppl 2): September 1, 2004 ©2004 by The Journal of Bone and Joint Surgery, Inc.

Allen F. Anderson J Bone Joint Surg Am 2004;86: ©2004 by The Journal of Bone and Joint Surgery, Inc.

Allen F. Anderson J Bone Joint Surg Am 2004;86: ©2004 by The Journal of Bone and Joint Surgery, Inc.

Graphically enhanced lateral view from the c-arm monitor after drilling the femoral hole. Allen F. Anderson J Bone Joint Surg Am 2004;86: ©2004 by The Journal of Bone and Joint Surgery, Inc.

Lateral radiograph of the tibia, demonstrating the correct position of the tibial guide-wire. Allen F. Anderson J Bone Joint Surg Am 2004;86: ©2004 by The Journal of Bone and Joint Surgery, Inc.

The Endobutton continuous loop is passed around the middle of the doubled tendons and is looped on itself. Allen F. Anderson J Bone Joint Surg Am 2004;86: ©2004 by The Journal of Bone and Joint Surgery, Inc.

The semitendinosus and gracilis tendons are pulled up through the tibia and out of the lateral femoral condyle with use of the number-5 suture in the Endobutton. Allen F. Anderson J Bone Joint Surg Am 2004;86: ©2004 by The Journal of Bone and Joint Surgery, Inc.

The Endobutton washer is placed over the Endobutton, and the washer is pulled back to the surface of the lateral femoral condyle. Allen F. Anderson J Bone Joint Surg Am 2004;86: ©2004 by The Journal of Bone and Joint Surgery, Inc.

The quadruple hamstring grafts are secured distally by tying the number-5 FiberWire sutures over a tibial screw and post. Allen F. Anderson J Bone Joint Surg Am 2004;86: ©2004 by The Journal of Bone and Joint Surgery, Inc.

Radiographs, made four months after surgery, showing properly placed transepiphyseal tibial and femoral holes. Allen F. Anderson J Bone Joint Surg Am 2004;86: ©2004 by The Journal of Bone and Joint Surgery, Inc.