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Transepiphysial fixation of anterior cruciate avulsion in a child

Report of a complication and review of the literature

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Summary

An avulsion of the anterior cruciate of an 11 year old girl was internally fixed with a transepiphysial screw. Two years later, anterior epiphysiodesis was evident, causing hyperextension of the knee. To avoid this complication, we recommend early removal of transepiphysial metalwork in children. Arthroscopical intrafocal fixation is proposed as a safe alternative.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, University Hospital Pellenberg, K.U. Leuven, Belgium

    J. Mylle

  2. Department of Traumatology, University Hospital Gasthuisberg, K.U. Leuven, Belgium

    P. Reynders & P. Broos

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  1. J. Mylle
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  2. P. Reynders
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  3. P. Broos
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Mylle, J., Reynders, P. & Broos, P. Transepiphysial fixation of anterior cruciate avulsion in a child. Arch Orthop Trauma Surg 112, 101–103 (1993). https://doi.org/10.1007/BF00420267

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  • DOI: https://doi.org/10.1007/BF00420267

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