Use of a Modified All-Epiphyseal Technique for Anterior Cruciate Ligament Reconstruction in the Skeletally Immature Patient.

Background: Multiple surgical approaches have been described for the management of anterior cruciate ligament (ACL) tears in skeletally immature patients.

Purpose: To provide a detailed description of a modified all-epiphyseal ACL reconstruction and report early outcomes and complications with this new technique.

Study Design: Case series; Level of evidence, 4.

Does Allograft Augmentation of Small-Diameter Hamstring Autograft ACL Grafts Reduce the Incidence of Graft Retear?

Background: Small-diameter hamstring tendons are frequently encountered during anterior cruciate ligament (ACL) reconstructions in patients with short stature or those who are skeletally immature. The role of augmenting these small-diameter autografts with allograft is unclear.

Purpose: To assess clinical outcomes and failure rates in adolescent patients with small hamstring tendon autografts (<7 mm) that were either augmented with soft tissue allograft or accepted "as is" and not augmented.