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Volumetric Injury of the Distal Femoral Physis During Double-Bundle ACL Reconstruction in Children by Kevin G. Shea, Nathan L. Grimm, and Jennifer S. Belzer J Bone Joint Surg Am Volume 93(11):1033-1038 June 1, 2011 ©2011 by The Journal of Bone and Joint Surgery, Inc.
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Image of three-dimensional model created with use of computer-aided design/computer-aided manufacturing software, showing separation of the tissue types—i.e., the epiphysis (green), physis (orange), and metaphysis (purple). Kevin G. Shea et al. J Bone Joint Surg Am 2011;93:1033- 1038 ©2011 by The Journal of Bone and Joint Surgery, Inc.
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Sagittal cut of the model, showing tunnel placement (gray) breaching the femoral physis (dark blue). Kevin G. Shea et al. J Bone Joint Surg Am 2011;93:1033- 1038 ©2011 by The Journal of Bone and Joint Surgery, Inc.
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Graph showing the percentages of physeal volume that are removed by creation of the anteromedial (AM) and posterolateral (PL) tunnels. Kevin G. Shea et al. J Bone Joint Surg Am 2011;93:1033- 1038 ©2011 by The Journal of Bone and Joint Surgery, Inc.
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Diagram showing tunnel placement through the physis (left) and computer-aided design/computer-aided manufacturing software model of the physis showing the location of the physeal tunnels (right). Kevin G. Shea et al. J Bone Joint Surg Am 2011;93:1033- 1038 ©2011 by The Journal of Bone and Joint Surgery, Inc.
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