Pediatric Anterior Cruciate Ligament Reconstruction.

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Abstract

[Indexed for MEDLINE] 9. Sports Med Arthrosc Rev. 2010 Mar;18(1):20-6. doi: 10.1097/JSA.0b013e3181bf67ae. All-inside ACL: retroconstruction controversies. Lubowitz JH(1). Author information: (1)Taos Orthopaedic Institute Research Foundation, 1219-A Gusdorf Rd., Taos, NM 87571, USA. jlubowitz@kitcarson.net All-inside anterior cruciate ligament reconstruction is controversial because the technique is new; as a result, evidence-based clinical outcome studies have yet to be published. The purpose of this article is to consider the following controversies (considered alphabetically): anatomy, biomechanics, biology, bioabsorbables, divergence of the femoral interference screw, expansion or widening of tunnels, fixation, future considerations, graft choice, the learning curve, technique, tensioning, and tibia blow-out fracture. The technique should be learned in stages. In the opinion of the author, the history of sports medicine and arthroscopy has been a progression toward less invasive techniques. In the future, all-inside anterior cruciate ligament reconstruction techniques should become more simple and reproducible, and clinical outcomes must be analyzed with long-term follow-up. DOI: 10.1097/JSA.0b013e3181bf67ae