Subset of patients show alignment shifts after transphyseal ACL surgery

A prospective multicenter cohort study (PLUTO Study Group) evaluated lower extremity alignment one year after transphyseal ACL reconstruction with soft tissue autograft in 91 skeletally immature patients within two years of skeletal maturity. While cohort-wide changes in alignment parameters were minimal, the study reported that 16% to 28% of patients had clinically relevant shifts, most often into valgus with decreased tibial slope, and one patient was recommended for intervention for growth disturbance. The authors state these findings support routine preoperative radiographic assessment and surveillance until skeletal maturity.

Most relevant for: Skeletally immature patients approaching skeletal maturity undergoing transphyseal ACL reconstruction with soft tissue autograft.

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