Guided Growth for Correction of Elevated Tibial Posterior Slope in Pediatric ACL Deficiency: A Case Report

Document Type

Article

Publication Date

10-1-2024

Publication Title

JBJS Case Connect

Abstract

CASE: Fourteen-year-old boy, history of autism presented with bilateral knee instability. Imaging revealed bilateral anterior cruciate ligament (ACL) insufficiency, 20° of posterior tibial slope (PTS) on the right and 18° on the left. A guided growth technique using anterior placed tension band plates was used to correct the PTS. At 22 months, the PTS corrected to 5.5° on the right and 6° on the left. The patient's knee stability improved, and he resumed activities at 30 months.

CONCLUSION: Pediatric ACL insufficiency in the setting of elevated PTS can be successfully corrected with a guided growth technique.

Medical Subject Headings

Humans; Male; Adolescent; Tibia; Anterior Cruciate Ligament Injuries; Joint Instability; Anterior Cruciate Ligament

PubMed ID

39509535

Volume

14

Issue

4

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