Single-bundle anterior cruciate ligament reconstructions will be improved if grafts are centered in their anatomical insertions by an independent drilling method versus grafts placed by a conventional transtibial drilling method.
Although the study groups were not well matched with regard to age and sex, our results show that these surgical techniques have no differences in incidence of growth disturbances or graft survivorship. Younger males tend to undergo physeal-sparing reconstruction. Future research should focus on long-term outcome metrics with the physeal-sparing techniques, as there remains a paucity of studies regarding them.
* The insertional anatomy of the hip abductors is fairly well established.* Magnetic resonance imaging remains the main diagnostic tool for these injuries, with the greatest specificity among various imaging technologies. In addition, it has utility in establishing a classification system that may have prognostic value.* There are multiple nonoperative and operative treatment modalities that have been shown to have satisfactory outcomes.* With the growing trend toward minimally invasive surgical procedures, there has been a movement to perform these direct repairs using arthroscopic portals that can access the peritrochanteric space and they have shown excellent safety and efficacy.
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