Rci screw

The indication for ACLR was instability at desired activity level or a wish to return to pre-injury activity level with a high exposure to pivoting activities. Patients with meniscal injuries suitable for repair were also recommended an ACLR. At both centers, arthroscopic ACLR with transphyseal drilling was performed and hamstring autografts from the ipsilateral leg were used. The femur tunnel was placed with a transtibial technique. The operations at both centers were performed by experienced arthroscopic knee surgeons doing more than 30 ACLR per year and with special interest in pediatric ACLR. The minimum graft length in the tunnels, both femoral and tibial, was 2 cm in order to make sure that the graft crosses the physes, thus avoiding transphyseal solid bone bridge formation across the physes and the risk of growth disturbances. An Endobutton (Smith&Nephew, Watford, United Kingdom) was used for femoral fixation. An RCI screw (Smith and Nephew) placed distal to the physis was used for tibial fixation at A, while at B an AO bicortical screw with a washer (Smith and Nephew) was used as a post.