ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION IN ATHLETES WITH AN OSSICLEASSOCIATED WITH OSGOOD-SCHLATTERS DISEASE

We report a series of 20 athletes with an ossicle associated with Osgo od-Schlatter's disease (OSD) who underwent anterior cruciate ligament (ACL) reconstruction using autogenous, central-l0-mm patellar-tendon g raft. All patients had an Osgood-Schlatter's lesion with an ossicle as seen on a plain radiograph. The patients wen reviewed at an average f ollow-up of 44 months (range; 24 to 108 months). The postoperative ass essment included clinical examination, KT-1000 resting, isokinetic tes ting, and subjective score (using the modified Noyes' questionnaire). At the time of latest review all 20 patients had a stable knee, The av erage side-to-side difference on manual maximum KT-1000 assessment Ras 1.9 mm (range, 0 to 5 mm). Average time to return to full sporting ac tivities was 5.2 months (range, 2.6 to 8.9 months), All patients retur ned to their previous level of activities. The mean modified Noyes' kn ee score was 96 (range, 89 to 100). To date, no graft failure has occu rred, Based on the results of this study, we believe that ACL reconstr uction using the autogenous bone-patellar tendon-bone graft can be saf ely undertaken in athletes with an ossicle associated with OSD without compromising the final knee function.