Transphyseal Anterior Cruciate Ligament Reconstruction in the Skeletally Immature: Quadriceps Tendon Autograft Versus Hamstring Tendon Autograft.

1 , 11 , 17 , 21 , 23 , 24 As a result, there has been an increasing trend toward early reconstruction in this patient population. 3 , 7 Several graft options have been described and are currently utilized in the management of skeletally immature patients with complete ACL tears, including the hamstring tendon, the quadriceps tendon, the iliotibial band, and various soft tissue allografts. 2 , 14 – 16 While each graft has certain advantages and disadvantages, there are no clear indications in the literature as to which approach is optimal for skeletally immature patients.

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