SURGICAL TECHNIQUE 1. The patient is positioned supine on the operating table. The leg of the bed is not dropped. This allows the surgeon to place K-wires under fluoroscopic guidance…

TREATMENT Indications Patients with stable OCD lesions of the knee and open physes should be initially managed nonoperatively. Conservative modalities may range from simple activity modification (i.e., avoiding offending activities…

Tibial tubercle avulsion injuries often involve complex fracture patterns, and although standard radiographs may help in the diagnosis of injury, they are insufficient in the characterization of fracture pattern. Computed…

The femoral tunnel is drilled using a transtibial technique (Fig. 10.2). An over-the-top guide is placed with guide pin centered on the ACL footprint. Some fibers of the ACL are…

AUTHORS’ PREFERRED TECHNIQUE: OPEN REDUCTION AND INTERNAL FIXATION USING BIOABSORBABLE FIXATION IMPLANTS Diagnostic arthroscopy is performed to verify the size and quality of the lesion while simultaneously removing small loose…

ANATOMY AND FUNCTION The patella, which begins to ossify between ages 3 and 6 years, is uniquely flexible in younger children.4 Anywhere between one and six ossicles will form and…

In a follow-up study of 314 athletes (mean age 32.7 years), less than half (45%) of these athletes had returned to sport at greater than 3 years after ACLR. However,…

Historically, there has been a distinction between juvenile-onset OCD and adult-onset OCD. Many surgeons have suggested that skeletally immature patients (juvenile onset) have a better prognosis that has been inconsistently…

•  The natural history of nonoperative treatment in the ACL-injured skeletally immature athlete has been reviewed completely in Chapters 2 and 5. The indication for ACL reconstruction is predicated on clinical…