Reconstrucción artroscópica de LCA en un niño con aloinjerto de isquiotibiales de donante vivo

Abstract

In recent years, there has been an increase in reports of ACL injuries in skeletally immature patients. Surgical treatments for these types of patients have also improved. Timely treatment is necessary for the prevention of future meniscal or chondral injuries.

Reconstruction of ACL with a transfusion technique, modified for patients with open physis, and an graft without bone blocks, is a safe procedure with good clinical and functional results. The objective of this report is to describe the case of a 10-year-old patient. years. Intra-articular reconstruction with transphysial tunnels provides a safe method to restore joint stability and without risk of damage to the physis and with this generate limb growth disorders, misalignment, or discrepancies in the limbs. There is also a high incidence of ACL plastic ruptures in children.

Injector diameter and patient age are associated with early graft failure. The diameter of the hamstrings is directly related to height, sex, and physical build, therefore, activation of the fresh living donor graft is an option to consider. The ideal choice of graft in children should be biologically activate, be of adequate size for graft survival, cause less donor site morbidity, and preserve neuromuscular structures in the knee.