ABOS Orthopaedic Sports Medicine Practice Questions - ABOS Orthopaedic Sports Medicine Subspecialty Certification Examination Exam

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A 17-year-old female soccer player with open physes sustains an ACL tear. She has 2 years of growth remaining. Which reconstruction technique minimizes physeal injury?

Standard adult-style transphyseal hamstring reconstruction All-epiphyseal reconstruction or physeal-sparing techniques (e.g., Anderson, MicheliiT band technique) using soft-tissue graft, avoiding hardware or bone blocks crossing the physis Transphyseal BTB graft with bone blocks at each physis Delayed reconstruction until skeletal maturity is always preferred

Correct Answer:

All-epiphyseal reconstruction or physeal-sparing techniques (e.g., Anderson, MicheliiT band technique) using soft-tissue graft, avoiding hardware or bone blocks crossing the physis

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