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ACL injuries in children are a challenge because children have open growth plates in the bottom of the femur or thigh bone and on the top of the tibia or shin. An ACL reconstruction typically crosses the growth plates, posing a theoretical risk of injury to the growth plate, stunting leg growth, or causing the leg to grow at an unusual angle. [18]
Relative to the femur, the ACL keeps the tibia from slipping forward and the PCL keeps the tibia from slipping backward. Another structure of this type in human anatomy is the cruciate ligament of the dens of the atlas vertebra, also called "cruciform ligament of the atlas", a ligament in the neck forming part of the atlanto-axial joint. [2]
The PCL is located within the knee joint where it stabilizes the articulating bones, particularly the femur and the tibia, during movement.It originates from the lateral edge of the medial femoral condyle and the roof of the intercondyle notch [2] then stretches, at a posterior and lateral angle, toward the posterior of the tibia just below its articular surface.
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Treatment of the unhappy triad usually requires surgery. An ACL surgery is common and the meniscus can be treated during the surgery as well. The MCL is rehabilitated through time and immobilization. Physical therapy after the surgery and the use of a knee brace help speed up the healing process. A typical surgery for a blown knee includes:
Devaughn Vele gets a good grade for concentration. The Denver Broncos receiver couldn't have figured that he would catch a touchdown when Bo Nix threw it toward the back of the end zone.
ACL reconstruction is a commonly practiced technique for ACL injury, conducted on 30% of patients, which manages to restore stability to the knee structure. [2] [14] Traditional ACL reconstructions uses autografts or allografts which demand a long rehabilitation time and in most cases, develop donor morbidity in the long term. [11]