{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:54:29Z","timestamp":1777388069548,"version":"3.51.4"},"reference-count":31,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2003,11,1]],"date-time":"2003-11-01T00:00:00Z","timestamp":1067644800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2003,11]]},"abstract":"<jats:p>Background: Transphyseal anterior cruciate ligament reconstruction in skeletally immature patients carries the risk of adverse sequelae.<\/jats:p>\n                  <jats:p>Purpose: 1) To provide clinical and radiographic methods to identify skeletally immature patients with significant remaining lower limb growth. 2) To provide a method for calculating the percent area lesion created by a 6-mm distal femoral physeal tunnel. 3) To present a method of partial transphyseal intraarticular anterior cruciate ligament reconstruction with bipolar graft fixation in these patients. 4) To report on clinical, functional, and radiographic results at skeletal maturity.<\/jats:p>\n                  <jats:p>Methods: Fourteen adolescents with symptomatic anterior cruciate ligament instability who were identified as being in Tanner stages 2 and 3 underwent partial transphyseal intraarticular anterior cruciate ligament reconstruction with the use of hamstring tendon grafts (transphyseal only in the femur and through the epiphysis in the tibia).<\/jats:p>\n                  <jats:p>Results: At skeletal maturity, 10 patients were asymptomatic and fully active in sports. No patient had significant leg-length inequality or angular deformity after use of a 6-mm femoral physeal tunnel, which represented 1) less than 7% of the frontal plane and 2) less than 1% of the transverse plane cross-sectional femoral physeal areas.<\/jats:p>\n                  <jats:p>Conclusions: The choice of the exposed technique and the method used to select patients permitted us to avoid adverse sequelae.<\/jats:p>","DOI":"10.1177\/03635465030310063301","type":"journal-article","created":{"date-parts":[[2017,7,19]],"date-time":"2017-07-19T06:12:27Z","timestamp":1500444747000},"page":"941-948","source":"Crossref","is-referenced-by-count":75,"title":["Preoperative Evaluation and Anterior Cruciate Ligament Reconstruction Technique for Skeletally Immature Patients in Tanner Stages 2 and 3"],"prefix":"10.1177","volume":"31","author":[{"given":"Vincenzo","family":"Guzzanti","sequence":"first","affiliation":[{"name":"Orthopaedic Department, the Children's Hospital Bambino Ges\u00f9, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Falciglia","sequence":"additional","affiliation":[{"name":"Orthopaedic Department, the Children's Hospital Bambino Ges\u00f9, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carl L.","family":"Stanitski","sequence":"additional","affiliation":[{"name":"Orthopaedic Department, the Children's Hospital Bambino Ges\u00f9, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2003,11,1]]},"reference":[{"key":"bibr1-03635465030310063301","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196345010-00001"},{"key":"bibr2-03635465030310063301","doi-asserted-by":"publisher","DOI":"10.1177\/036354659402200109"},{"key":"bibr3-03635465030310063301","doi-asserted-by":"publisher","DOI":"10.1016\/0749-8063(89)90171-0"},{"key":"bibr4-03635465030310063301","doi-asserted-by":"publisher","DOI":"10.1177\/03635465000280052501"},{"key":"bibr5-03635465030310063301","unstructured":"DeLeeJC: Ligamentous injury of the knee, in StanitskiCL, DeLeeJC, DrezWB (eds): Pediatric and Adolescent Sports Medicine. 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