Operative Orthopädie und Traumatologie
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Oper Orthop Traumatol · Oct 2008
Clinical Trial[Anterior cruciate ligament reconstruction with semitendinosus tendon in children].
To present the technique of arthroscopy-assisted anterior cruciate ligament (ACL) reconstruction in children with complete ACL rupture. ⋯ 57 children with remaining growth potential around the knee underwent ACL reconstruction using the semitendinosus tendon at the Pediatric Orthopedic Unit, Department of Pediatric Surgery, Graz, Austria, between 2002-2007. 45 patients received ACL reconstruction with associated meniscal injuries. The described endobutton technique for fixation of the transplant has been performed since 2006. As the patients are under follow-up, the long-term effects of this technique on growth around the knee are, to date, not known. 30 patients were operated before 2006 using the bioresorbable interference screw for fixation by ACL reconstruction with the semtendinosus tendon. All these patients were at Tanner stage 4 or older. 15 of these cases were evaluated after completion of growth, and all showed a good to excellent outcome in Tegner, Lysholm and IKDC (International Knee Documentation Committee) Scores without any growth disturbances.
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Oper Orthop Traumatol · Oct 2008
Clinical Trial[Elastic Stable Intramedullary Nailing (ESIN) of forearm fractures].
Fracture stabilization and restoration of bony anatomy with elastic stable intramedullary nailing (ESIN). ⋯ Operative treatment of forearm shaft fractures with ESIN was analyzed in 77 children. Average duration of surgery was 44 min (10-140 min). After an average of 7 months (1-13 months), the nails were removed. Postoperative complications were analyzed in 74 patients (96%). In three patients (4%), a superficial pin site infection emerged. One child (1%) fell on his arm again and broke his distal radius during ESIN treatment, and one patient (1%) showed deflected nails after a refall on the arm 1 week after surgery. Assessment of functional outcome in 70 patients revealed only two cases (3%) with minimal functional deficit.