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Background <p>Cruciate ligament tears show an increasing tendency in children and adolescents. In addition, they demonstrate a&#xa0;higher re-rupture rate in comparison to adults. Conservative treatment in these patients frequently leads to unsatisfactory results with a&#xa0;persisting feeling of instability and an increased risk for secondary injuries. In most cases surgical reconstruction is nowadays considered the preferred treatment option.</p> Case report <p>The article presents the case of an 8‑year-old boy who complained of persisting pain and feeling of instability in the left knee following a&#xa0;knee distortion due to a bicycle accident. The diagnostics revealed a tear of the anterior cruciate ligament (ACL) and a bucket-handle tear of the lateral meniscus. The surgical reconstruction of the ACL was carried out using the transphyseal technique and an allogenic four-strand living-donor semitendinosus tendon from the father and an all-inside suture repair of the meniscus. The follow-up examination showed an uneventful recovery with no indications of instability.</p> Conclusion <p>The transphyseal technique for cruciate ligament reconstruction in children and adolescents is an established procedure and is rarely associated with clinically relevant growth disorders. The use of a&#xa0;parental allograft provides good transplant characteristics and is accompanied by reduced harvesting morbidity.</p>

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Kindliche vordere Kreuzbandruptur mit Korbhenkelriss des Außenmeniskus

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年3月10日

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  • Anton Brehmer,
  • Stephan Oehme,
  • Tobias Jung

摘要

Background

Cruciate ligament tears show an increasing tendency in children and adolescents. In addition, they demonstrate a higher re-rupture rate in comparison to adults. Conservative treatment in these patients frequently leads to unsatisfactory results with a persisting feeling of instability and an increased risk for secondary injuries. In most cases surgical reconstruction is nowadays considered the preferred treatment option.

Case report

The article presents the case of an 8‑year-old boy who complained of persisting pain and feeling of instability in the left knee following a knee distortion due to a bicycle accident. The diagnostics revealed a tear of the anterior cruciate ligament (ACL) and a bucket-handle tear of the lateral meniscus. The surgical reconstruction of the ACL was carried out using the transphyseal technique and an allogenic four-strand living-donor semitendinosus tendon from the father and an all-inside suture repair of the meniscus. The follow-up examination showed an uneventful recovery with no indications of instability.

Conclusion

The transphyseal technique for cruciate ligament reconstruction in children and adolescents is an established procedure and is rarely associated with clinically relevant growth disorders. The use of a parental allograft provides good transplant characteristics and is accompanied by reduced harvesting morbidity.