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Transepiphyseal Replacement of the Anterior Cruciate Ligament Using Quadruple Hamstring Grafts in Skeletally Immature Patients by Allen F. Anderson J Bone.

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Presentation on theme: "Transepiphyseal Replacement of the Anterior Cruciate Ligament Using Quadruple Hamstring Grafts in Skeletally Immature Patients by Allen F. Anderson J Bone."— Presentation transcript:

1 Transepiphyseal Replacement of the Anterior Cruciate Ligament Using Quadruple Hamstring Grafts in Skeletally Immature Patients by Allen F. Anderson J Bone Joint Surg Am Volume 86(1 suppl 2): September 1, 2004 ©2004 by The Journal of Bone and Joint Surgery, Inc.

2 Allen F. Anderson J Bone Joint Surg Am 2004;86: ©2004 by The Journal of Bone and Joint Surgery, Inc.

3 Allen F. Anderson J Bone Joint Surg Am 2004;86: ©2004 by The Journal of Bone and Joint Surgery, Inc.

4 Graphically enhanced lateral view from the c-arm monitor after drilling the femoral hole. Allen F. Anderson J Bone Joint Surg Am 2004;86: ©2004 by The Journal of Bone and Joint Surgery, Inc.

5 Lateral radiograph of the tibia, demonstrating the correct position of the tibial guide-wire. Allen F. Anderson J Bone Joint Surg Am 2004;86: ©2004 by The Journal of Bone and Joint Surgery, Inc.

6 The Endobutton continuous loop is passed around the middle of the doubled tendons and is looped on itself. Allen F. Anderson J Bone Joint Surg Am 2004;86: ©2004 by The Journal of Bone and Joint Surgery, Inc.

7 The semitendinosus and gracilis tendons are pulled up through the tibia and out of the lateral femoral condyle with use of the number-5 suture in the Endobutton. Allen F. Anderson J Bone Joint Surg Am 2004;86: ©2004 by The Journal of Bone and Joint Surgery, Inc.

8 The Endobutton washer is placed over the Endobutton, and the washer is pulled back to the surface of the lateral femoral condyle. Allen F. Anderson J Bone Joint Surg Am 2004;86: ©2004 by The Journal of Bone and Joint Surgery, Inc.

9 The quadruple hamstring grafts are secured distally by tying the number-5 FiberWire sutures over a tibial screw and post. Allen F. Anderson J Bone Joint Surg Am 2004;86: ©2004 by The Journal of Bone and Joint Surgery, Inc.

10 Radiographs, made four months after surgery, showing properly placed transepiphyseal tibial and femoral holes. Allen F. Anderson J Bone Joint Surg Am 2004;86: ©2004 by The Journal of Bone and Joint Surgery, Inc.


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