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Valgus Deformity After Reconstruction of the Anterior Cruciate Ligament in a Skeletally Immature Patient. A Case Report*
JON D. KOMAN, M.D.†; JAMES O. SANDERS, M.D.‡, ERIE, PENNSYLVANIA
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Investigation performed at Shriners Hospital for Children, Erie
J Bone Joint Surg Am, 1999 May 01;81(5):711-5
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Extract

Whether acute or chronic, rupture of the anterior cruciate ligament is uncommon in children, most likely because the strength of the ligament is greater than that of bone or physes in children3,5. However, intrasubstance ruptures of the anterior cruciate ligament can occur in young patients1,2,4,6-8,11-17,19. A heightened awareness of injuries to the ligament and the fear of irreparable damage to the cartilage and menisci have created a trend toward operative treatment1,2,4,6-8,11-17,19. Intra-articular reconstruction of the anterior cruciate ligament has been successful in adults; however, drilling across an open growth plate is a cause of concern because it may lead to the formation of an osseous bridge, resulting in premature physeal closure, limb-length discrepancy, and angulation of the involved extremity10.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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