ArticleJournal of experimental orthopaedics2025
Physeal-sparing anterior cruciate ligament reconstruction provides better initial joint biomechanics than complete transphyseal reconstruction in an early adolescent porcine model.
Article in Journal of experimental orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Purpose: The aim of this study was to compare initial joint kinematics and tissue forces following complete transphyseal, partial transphyseal and physeal-sparing anterior cruciate ligament (ACL) reconstruction (ACLR) in an early adolescent porcine model. Methods: Eighteen early adolescent porcine knees were tested using a six-degree-of-freedom robotic testing system at 40° and 60° of flexion. An 80 N anterior-posterior (AP) force, 120 N compression force and 4 N m varus-valgus torque were applied to the tibia in intact, ACL transected and ACLR states. Complete transphyseal, partial transphyseal, and physeal-sparing surgical techniques were performed ( Results: At 40° of flexion, the increase in AP tibial translation following physeal-sparing ACLR was 3.8 mm smaller than the complete transphyseal ( Conclusion: In early adolescent porcine joints, the physeal-sparing technique led to better initial joint stability with less anterior force shifted to the MCL compared to the complete transphyseal technique.
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