Arthroscopically assisted reduction and internal fixation of a femoral anterior cruciate ligament osteochondral avulsion fracture in a 14-year-old girl via transphyseal inside-out technique

Abstract Femoral avulsion fracture of the anterior cruciate ligament (ACL) in children and adolescents is rare, and its arthroscopic treatment is even more so. A femoral avulsion fracture of the ACL of a 14-year-old girl was arthroscopically reduced and fixed by a Kirschner wire (K-wire) via an insi...
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Autor*in:	Langenhan, Ronny [verfasserIn] Baumann, Matthias Hohendorff, Bernd Probst, Axel Trobisch, Per

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2013

Schlagwörter:	Anterior cruciate ligament Skeletally immature Femoral avulsion fracture Arthroscopic reduction and internal fixation

Anmerkung:	© The Author(s) 2013

Übergeordnetes Werk:	Enthalten in: Strategies in trauma and limb reconstruction - New Delhi : Jaypee Brothers Medical Publishers Pvt. Ltd., 2006, 8(2013), 3 vom: 04. Sept., Seite 193-197
Übergeordnetes Werk:	volume:8 ; year:2013 ; number:3 ; day:04 ; month:09 ; pages:193-197

Links:	Volltext

DOI / URN:	10.1007/s11751-013-0175-6

Katalog-ID:	SPR022766863

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520			\|a Abstract Femoral avulsion fracture of the anterior cruciate ligament (ACL) in children and adolescents is rare, and its arthroscopic treatment is even more so. A femoral avulsion fracture of the ACL of a 14-year-old girl was arthroscopically reduced and fixed by a Kirschner wire (K-wire) via an inside-out technique. A 1.4-mm K-wire was drilled inside-out into the osseous defect of the lateral femoral condyle under arthroscopic visualization. The avulsed fragment was reduced and then drilled retrograde by the wire. After bending the intra-articular visible end of the K-wire by a knot pusher, the fragment was gently fixed by pulling the wire from outside. At 24 months, both knee stability and range of motion were the same in the operated and the healthy opposite leg. Magnetic resonance imaging evaluation and conventional radiographs showed an intact ACL without detectable disturbance in the growth plate. Only seven cases of a proximal avulsion of the ACL in children and adolescents have been published. Six were treated by open reduction and internal fixation, one by arthroscopic reduction without fixation.
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allfields	10.1007/s11751-013-0175-6 doi (DE-627)SPR022766863 (SPR)s11751-013-0175-6-e DE-627 ger DE-627 rakwb eng Langenhan, Ronny verfasserin aut Arthroscopically assisted reduction and internal fixation of a femoral anterior cruciate ligament osteochondral avulsion fracture in a 14-year-old girl via transphyseal inside-out technique 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2013 Abstract Femoral avulsion fracture of the anterior cruciate ligament (ACL) in children and adolescents is rare, and its arthroscopic treatment is even more so. A femoral avulsion fracture of the ACL of a 14-year-old girl was arthroscopically reduced and fixed by a Kirschner wire (K-wire) via an inside-out technique. A 1.4-mm K-wire was drilled inside-out into the osseous defect of the lateral femoral condyle under arthroscopic visualization. The avulsed fragment was reduced and then drilled retrograde by the wire. After bending the intra-articular visible end of the K-wire by a knot pusher, the fragment was gently fixed by pulling the wire from outside. At 24 months, both knee stability and range of motion were the same in the operated and the healthy opposite leg. Magnetic resonance imaging evaluation and conventional radiographs showed an intact ACL without detectable disturbance in the growth plate. Only seven cases of a proximal avulsion of the ACL in children and adolescents have been published. Six were treated by open reduction and internal fixation, one by arthroscopic reduction without fixation. Anterior cruciate ligament (dpeaa)DE-He213 Skeletally immature (dpeaa)DE-He213 Femoral avulsion fracture (dpeaa)DE-He213 Arthroscopic reduction and internal fixation (dpeaa)DE-He213 Baumann, Matthias aut Hohendorff, Bernd aut Probst, Axel aut Trobisch, Per aut Enthalten in Strategies in trauma and limb reconstruction New Delhi : Jaypee Brothers Medical Publishers Pvt. Ltd., 2006 8(2013), 3 vom: 04. Sept., Seite 193-197 (DE-627)54399158X (DE-600)2387508-2 1828-8928 nnns volume:8 year:2013 number:3 day:04 month:09 pages:193-197 https://dx.doi.org/10.1007/s11751-013-0175-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2013 3 04 09 193-197
spelling	10.1007/s11751-013-0175-6 doi (DE-627)SPR022766863 (SPR)s11751-013-0175-6-e DE-627 ger DE-627 rakwb eng Langenhan, Ronny verfasserin aut Arthroscopically assisted reduction and internal fixation of a femoral anterior cruciate ligament osteochondral avulsion fracture in a 14-year-old girl via transphyseal inside-out technique 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2013 Abstract Femoral avulsion fracture of the anterior cruciate ligament (ACL) in children and adolescents is rare, and its arthroscopic treatment is even more so. A femoral avulsion fracture of the ACL of a 14-year-old girl was arthroscopically reduced and fixed by a Kirschner wire (K-wire) via an inside-out technique. A 1.4-mm K-wire was drilled inside-out into the osseous defect of the lateral femoral condyle under arthroscopic visualization. The avulsed fragment was reduced and then drilled retrograde by the wire. After bending the intra-articular visible end of the K-wire by a knot pusher, the fragment was gently fixed by pulling the wire from outside. At 24 months, both knee stability and range of motion were the same in the operated and the healthy opposite leg. Magnetic resonance imaging evaluation and conventional radiographs showed an intact ACL without detectable disturbance in the growth plate. Only seven cases of a proximal avulsion of the ACL in children and adolescents have been published. Six were treated by open reduction and internal fixation, one by arthroscopic reduction without fixation. Anterior cruciate ligament (dpeaa)DE-He213 Skeletally immature (dpeaa)DE-He213 Femoral avulsion fracture (dpeaa)DE-He213 Arthroscopic reduction and internal fixation (dpeaa)DE-He213 Baumann, Matthias aut Hohendorff, Bernd aut Probst, Axel aut Trobisch, Per aut Enthalten in Strategies in trauma and limb reconstruction New Delhi : Jaypee Brothers Medical Publishers Pvt. Ltd., 2006 8(2013), 3 vom: 04. Sept., Seite 193-197 (DE-627)54399158X (DE-600)2387508-2 1828-8928 nnns volume:8 year:2013 number:3 day:04 month:09 pages:193-197 https://dx.doi.org/10.1007/s11751-013-0175-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2013 3 04 09 193-197
allfields_unstemmed	10.1007/s11751-013-0175-6 doi (DE-627)SPR022766863 (SPR)s11751-013-0175-6-e DE-627 ger DE-627 rakwb eng Langenhan, Ronny verfasserin aut Arthroscopically assisted reduction and internal fixation of a femoral anterior cruciate ligament osteochondral avulsion fracture in a 14-year-old girl via transphyseal inside-out technique 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2013 Abstract Femoral avulsion fracture of the anterior cruciate ligament (ACL) in children and adolescents is rare, and its arthroscopic treatment is even more so. A femoral avulsion fracture of the ACL of a 14-year-old girl was arthroscopically reduced and fixed by a Kirschner wire (K-wire) via an inside-out technique. A 1.4-mm K-wire was drilled inside-out into the osseous defect of the lateral femoral condyle under arthroscopic visualization. The avulsed fragment was reduced and then drilled retrograde by the wire. After bending the intra-articular visible end of the K-wire by a knot pusher, the fragment was gently fixed by pulling the wire from outside. At 24 months, both knee stability and range of motion were the same in the operated and the healthy opposite leg. Magnetic resonance imaging evaluation and conventional radiographs showed an intact ACL without detectable disturbance in the growth plate. Only seven cases of a proximal avulsion of the ACL in children and adolescents have been published. Six were treated by open reduction and internal fixation, one by arthroscopic reduction without fixation. Anterior cruciate ligament (dpeaa)DE-He213 Skeletally immature (dpeaa)DE-He213 Femoral avulsion fracture (dpeaa)DE-He213 Arthroscopic reduction and internal fixation (dpeaa)DE-He213 Baumann, Matthias aut Hohendorff, Bernd aut Probst, Axel aut Trobisch, Per aut Enthalten in Strategies in trauma and limb reconstruction New Delhi : Jaypee Brothers Medical Publishers Pvt. Ltd., 2006 8(2013), 3 vom: 04. Sept., Seite 193-197 (DE-627)54399158X (DE-600)2387508-2 1828-8928 nnns volume:8 year:2013 number:3 day:04 month:09 pages:193-197 https://dx.doi.org/10.1007/s11751-013-0175-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2013 3 04 09 193-197
allfieldsGer	10.1007/s11751-013-0175-6 doi (DE-627)SPR022766863 (SPR)s11751-013-0175-6-e DE-627 ger DE-627 rakwb eng Langenhan, Ronny verfasserin aut Arthroscopically assisted reduction and internal fixation of a femoral anterior cruciate ligament osteochondral avulsion fracture in a 14-year-old girl via transphyseal inside-out technique 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2013 Abstract Femoral avulsion fracture of the anterior cruciate ligament (ACL) in children and adolescents is rare, and its arthroscopic treatment is even more so. A femoral avulsion fracture of the ACL of a 14-year-old girl was arthroscopically reduced and fixed by a Kirschner wire (K-wire) via an inside-out technique. A 1.4-mm K-wire was drilled inside-out into the osseous defect of the lateral femoral condyle under arthroscopic visualization. The avulsed fragment was reduced and then drilled retrograde by the wire. After bending the intra-articular visible end of the K-wire by a knot pusher, the fragment was gently fixed by pulling the wire from outside. At 24 months, both knee stability and range of motion were the same in the operated and the healthy opposite leg. Magnetic resonance imaging evaluation and conventional radiographs showed an intact ACL without detectable disturbance in the growth plate. Only seven cases of a proximal avulsion of the ACL in children and adolescents have been published. Six were treated by open reduction and internal fixation, one by arthroscopic reduction without fixation. Anterior cruciate ligament (dpeaa)DE-He213 Skeletally immature (dpeaa)DE-He213 Femoral avulsion fracture (dpeaa)DE-He213 Arthroscopic reduction and internal fixation (dpeaa)DE-He213 Baumann, Matthias aut Hohendorff, Bernd aut Probst, Axel aut Trobisch, Per aut Enthalten in Strategies in trauma and limb reconstruction New Delhi : Jaypee Brothers Medical Publishers Pvt. Ltd., 2006 8(2013), 3 vom: 04. Sept., Seite 193-197 (DE-627)54399158X (DE-600)2387508-2 1828-8928 nnns volume:8 year:2013 number:3 day:04 month:09 pages:193-197 https://dx.doi.org/10.1007/s11751-013-0175-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2013 3 04 09 193-197
allfieldsSound	10.1007/s11751-013-0175-6 doi (DE-627)SPR022766863 (SPR)s11751-013-0175-6-e DE-627 ger DE-627 rakwb eng Langenhan, Ronny verfasserin aut Arthroscopically assisted reduction and internal fixation of a femoral anterior cruciate ligament osteochondral avulsion fracture in a 14-year-old girl via transphyseal inside-out technique 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2013 Abstract Femoral avulsion fracture of the anterior cruciate ligament (ACL) in children and adolescents is rare, and its arthroscopic treatment is even more so. A femoral avulsion fracture of the ACL of a 14-year-old girl was arthroscopically reduced and fixed by a Kirschner wire (K-wire) via an inside-out technique. A 1.4-mm K-wire was drilled inside-out into the osseous defect of the lateral femoral condyle under arthroscopic visualization. The avulsed fragment was reduced and then drilled retrograde by the wire. After bending the intra-articular visible end of the K-wire by a knot pusher, the fragment was gently fixed by pulling the wire from outside. At 24 months, both knee stability and range of motion were the same in the operated and the healthy opposite leg. Magnetic resonance imaging evaluation and conventional radiographs showed an intact ACL without detectable disturbance in the growth plate. Only seven cases of a proximal avulsion of the ACL in children and adolescents have been published. Six were treated by open reduction and internal fixation, one by arthroscopic reduction without fixation. Anterior cruciate ligament (dpeaa)DE-He213 Skeletally immature (dpeaa)DE-He213 Femoral avulsion fracture (dpeaa)DE-He213 Arthroscopic reduction and internal fixation (dpeaa)DE-He213 Baumann, Matthias aut Hohendorff, Bernd aut Probst, Axel aut Trobisch, Per aut Enthalten in Strategies in trauma and limb reconstruction New Delhi : Jaypee Brothers Medical Publishers Pvt. Ltd., 2006 8(2013), 3 vom: 04. Sept., Seite 193-197 (DE-627)54399158X (DE-600)2387508-2 1828-8928 nnns volume:8 year:2013 number:3 day:04 month:09 pages:193-197 https://dx.doi.org/10.1007/s11751-013-0175-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2013 3 04 09 193-197
language	English
source	Enthalten in Strategies in trauma and limb reconstruction 8(2013), 3 vom: 04. Sept., Seite 193-197 volume:8 year:2013 number:3 day:04 month:09 pages:193-197
sourceStr	Enthalten in Strategies in trauma and limb reconstruction 8(2013), 3 vom: 04. Sept., Seite 193-197 volume:8 year:2013 number:3 day:04 month:09 pages:193-197
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Anterior cruciate ligament Skeletally immature Femoral avulsion fracture Arthroscopic reduction and internal fixation
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container_title	Strategies in trauma and limb reconstruction
authorswithroles_txt_mv	Langenhan, Ronny @@aut@@ Baumann, Matthias @@aut@@ Hohendorff, Bernd @@aut@@ Probst, Axel @@aut@@ Trobisch, Per @@aut@@
publishDateDaySort_date	2013-09-04T00:00:00Z
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author	Langenhan, Ronny
spellingShingle	Langenhan, Ronny misc Anterior cruciate ligament misc Skeletally immature misc Femoral avulsion fracture misc Arthroscopic reduction and internal fixation Arthroscopically assisted reduction and internal fixation of a femoral anterior cruciate ligament osteochondral avulsion fracture in a 14-year-old girl via transphyseal inside-out technique
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topic_title	Arthroscopically assisted reduction and internal fixation of a femoral anterior cruciate ligament osteochondral avulsion fracture in a 14-year-old girl via transphyseal inside-out technique Anterior cruciate ligament (dpeaa)DE-He213 Skeletally immature (dpeaa)DE-He213 Femoral avulsion fracture (dpeaa)DE-He213 Arthroscopic reduction and internal fixation (dpeaa)DE-He213
topic	misc Anterior cruciate ligament misc Skeletally immature misc Femoral avulsion fracture misc Arthroscopic reduction and internal fixation
topic_unstemmed	misc Anterior cruciate ligament misc Skeletally immature misc Femoral avulsion fracture misc Arthroscopic reduction and internal fixation
topic_browse	misc Anterior cruciate ligament misc Skeletally immature misc Femoral avulsion fracture misc Arthroscopic reduction and internal fixation
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title	Arthroscopically assisted reduction and internal fixation of a femoral anterior cruciate ligament osteochondral avulsion fracture in a 14-year-old girl via transphyseal inside-out technique
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title_full	Arthroscopically assisted reduction and internal fixation of a femoral anterior cruciate ligament osteochondral avulsion fracture in a 14-year-old girl via transphyseal inside-out technique
author_sort	Langenhan, Ronny
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author_browse	Langenhan, Ronny Baumann, Matthias Hohendorff, Bernd Probst, Axel Trobisch, Per
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title_sort	arthroscopically assisted reduction and internal fixation of a femoral anterior cruciate ligament osteochondral avulsion fracture in a 14-year-old girl via transphyseal inside-out technique
title_auth	Arthroscopically assisted reduction and internal fixation of a femoral anterior cruciate ligament osteochondral avulsion fracture in a 14-year-old girl via transphyseal inside-out technique
abstract	Abstract Femoral avulsion fracture of the anterior cruciate ligament (ACL) in children and adolescents is rare, and its arthroscopic treatment is even more so. A femoral avulsion fracture of the ACL of a 14-year-old girl was arthroscopically reduced and fixed by a Kirschner wire (K-wire) via an inside-out technique. A 1.4-mm K-wire was drilled inside-out into the osseous defect of the lateral femoral condyle under arthroscopic visualization. The avulsed fragment was reduced and then drilled retrograde by the wire. After bending the intra-articular visible end of the K-wire by a knot pusher, the fragment was gently fixed by pulling the wire from outside. At 24 months, both knee stability and range of motion were the same in the operated and the healthy opposite leg. Magnetic resonance imaging evaluation and conventional radiographs showed an intact ACL without detectable disturbance in the growth plate. Only seven cases of a proximal avulsion of the ACL in children and adolescents have been published. Six were treated by open reduction and internal fixation, one by arthroscopic reduction without fixation. © The Author(s) 2013
abstractGer	Abstract Femoral avulsion fracture of the anterior cruciate ligament (ACL) in children and adolescents is rare, and its arthroscopic treatment is even more so. A femoral avulsion fracture of the ACL of a 14-year-old girl was arthroscopically reduced and fixed by a Kirschner wire (K-wire) via an inside-out technique. A 1.4-mm K-wire was drilled inside-out into the osseous defect of the lateral femoral condyle under arthroscopic visualization. The avulsed fragment was reduced and then drilled retrograde by the wire. After bending the intra-articular visible end of the K-wire by a knot pusher, the fragment was gently fixed by pulling the wire from outside. At 24 months, both knee stability and range of motion were the same in the operated and the healthy opposite leg. Magnetic resonance imaging evaluation and conventional radiographs showed an intact ACL without detectable disturbance in the growth plate. Only seven cases of a proximal avulsion of the ACL in children and adolescents have been published. Six were treated by open reduction and internal fixation, one by arthroscopic reduction without fixation. © The Author(s) 2013
abstract_unstemmed	Abstract Femoral avulsion fracture of the anterior cruciate ligament (ACL) in children and adolescents is rare, and its arthroscopic treatment is even more so. A femoral avulsion fracture of the ACL of a 14-year-old girl was arthroscopically reduced and fixed by a Kirschner wire (K-wire) via an inside-out technique. A 1.4-mm K-wire was drilled inside-out into the osseous defect of the lateral femoral condyle under arthroscopic visualization. The avulsed fragment was reduced and then drilled retrograde by the wire. After bending the intra-articular visible end of the K-wire by a knot pusher, the fragment was gently fixed by pulling the wire from outside. At 24 months, both knee stability and range of motion were the same in the operated and the healthy opposite leg. Magnetic resonance imaging evaluation and conventional radiographs showed an intact ACL without detectable disturbance in the growth plate. Only seven cases of a proximal avulsion of the ACL in children and adolescents have been published. Six were treated by open reduction and internal fixation, one by arthroscopic reduction without fixation. © The Author(s) 2013
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title_short	Arthroscopically assisted reduction and internal fixation of a femoral anterior cruciate ligament osteochondral avulsion fracture in a 14-year-old girl via transphyseal inside-out technique
url	https://dx.doi.org/10.1007/s11751-013-0175-6
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Arthroscopically assisted reduction and internal fixation of a femoral anterior cruciate ligament osteochondral avulsion fracture in a 14-year-old girl via transphyseal inside-out technique

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