{"id":"https://openalex.org/W2045548564","doi":"https://doi.org/10.1177/2325967114s00110","title":"Effect of Surgical Technique on Growth-Plate Violation in Simulated Adolescent ACL Reconstruction","display_name":"Effect of Surgical Technique on Growth-Plate Violation in Simulated Adolescent ACL Reconstruction","publication_year":2014,"publication_date":"2014-07-01","ids":{"openalex":"https://openalex.org/W2045548564","doi":"https://doi.org/10.1177/2325967114s00110","mag":"2045548564"},"language":"en","primary_location":{"id":"doi:10.1177/2325967114s00110","doi":"https://doi.org/10.1177/2325967114s00110","is_oa":true,"landing_page_url":"https://doi.org/10.1177/2325967114s00110","pdf_url":"https://journals.sagepub.com/doi/pdf/10.1177/2325967114S00110","source":{"id":"https://openalex.org/S2755168269","display_name":"Orthopaedic Journal of Sports Medicine","issn_l":"2325-9671","issn":["2325-9671"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Orthopaedic Journal of Sports Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://journals.sagepub.com/doi/pdf/10.1177/2325967114S00110","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5062612897","display_name":"Michael Kachmar","orcid":"https://orcid.org/0000-0001-8959-6565","observed_orcids":["https://orcid.org/0000-0001-8959-6565"]},"institutions":[{"id":"https://openalex.org/I130769515","display_name":"Pennsylvania State University","ror":"https://ror.org/04p491231","country_code":"US","type":"education","lineage":["https://openalex.org/I130769515"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael C. Kachmar","raw_affiliation_strings":["Penn State University, University Park, PA, USA","#N# 1Penn State University, University Park, PA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Penn State University, University Park, PA, USA","institution_ids":["https://openalex.org/I130769515"]},{"raw_affiliation_string":"#N# 1Penn State University, University Park, PA, USA","institution_ids":["https://openalex.org/I130769515"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5055632756","display_name":"Stephen J. Piazza","orcid":"https://orcid.org/0000-0002-5026-7569","observed_orcids":["https://orcid.org/0000-0002-5026-7569"]},"institutions":[{"id":"https://openalex.org/I130769515","display_name":"Pennsylvania State University","ror":"https://ror.org/04p491231","country_code":"US","type":"education","lineage":["https://openalex.org/I130769515"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Stephen J. Piazza","raw_affiliation_strings":["Penn State University, University Park, PA, USA","#N# 1Penn State University, University Park, PA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Penn State University, University Park, PA, USA","institution_ids":["https://openalex.org/I130769515"]},{"raw_affiliation_string":"#N# 1Penn State University, University Park, PA, USA","institution_ids":["https://openalex.org/I130769515"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5028670017","display_name":"Dov A. Bader","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I130769515","display_name":"Pennsylvania State University","ror":"https://ror.org/04p491231","country_code":"US","type":"education","lineage":["https://openalex.org/I130769515"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Dov A. Bader","raw_affiliation_strings":["Penn State Orthopaedics & Sports Medicine, State College, PA, USA","2Penn State Orthopaedics & Sports Medicine, State College, PA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Penn State Orthopaedics & Sports Medicine, State College, PA, USA","institution_ids":["https://openalex.org/I130769515"]},{"raw_affiliation_string":"2Penn State Orthopaedics & Sports Medicine, State College, PA, USA","institution_ids":["https://openalex.org/I130769515"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I130769515"],"apc_list":{"value":1500,"currency":"USD","value_usd":1500},"apc_paid":{"value":1500,"currency":"USD","value_usd":1500},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.14369871,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"2","issue":"7_suppl2","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10442","display_name":"Knee injuries and reconstruction techniques","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10442","display_name":"Knee injuries and reconstruction techniques","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10658","display_name":"Bone fractures and treatments","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11427","display_name":"Elbow and Forearm Trauma Treatment","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/anterior-cruciate-ligament-reconstruction","display_name":"anterior cruciate ligament reconstruction","score":0.9639999866485596},{"id":"https://openalex.org/keywords/anteromedial-approach","display_name":"anteromedial approach","score":0.8370000123977661},{"id":"https://openalex.org/keywords/transtibial-approach","display_name":"transtibial approach","score":0.9980000257492065},{"id":"https://openalex.org/keywords/femoral-tunnel-position","display_name":"femoral tunnel placement","score":0.6060000061988831},{"id":"https://openalex.org/keywords/computer-simulation","display_name":"computer simulation","score":0.3440000116825104},{"id":"https://openalex.org/keywords/magnetic-resonance-imaging","display_name":"magnetic resonance imaging","score":0.5669999718666077},{"id":"https://openalex.org/keywords/tunnel-diameter","display_name":"tunnel diameter","score":0.42399999499320984},{"id":"https://openalex.org/keywords/skeletally-immature-patients","display_name":"skeletally immature patients","score":0.8299999833106995},{"id":"https://openalex.org/keywords/surgical-technique-comparison","display_name":"surgical technique comparison","score":0.5699999928474426},{"id":"https://openalex.org/keywords/knee-deformity","display_name":"knee deformity","score":0.40400001406669617}],"concepts":[{"id":"https://openalex.org/C2778434673","wikidata":"https://www.wikidata.org/wiki/Q611127","display_name":"Anterior cruciate ligament","level":2,"score":0.8080222606658936},{"id":"https://openalex.org/C104148171","wikidata":"https://www.wikidata.org/wiki/Q1248453","display_name":"Physis","level":3,"score":0.7409529089927673},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6971224546432495},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.5785260796546936},{"id":"https://openalex.org/C173736775","wikidata":"https://www.wikidata.org/wiki/Q58964","display_name":"Drill","level":2,"score":0.5059422850608826},{"id":"https://openalex.org/C143409427","wikidata":"https://www.wikidata.org/wiki/Q161238","display_name":"Magnetic resonance imaging","level":2,"score":0.46490609645843506},{"id":"https://openalex.org/C29694066","wikidata":"https://www.wikidata.org/wiki/Q118301","display_name":"Orthodontics","level":1,"score":0.4260144531726837},{"id":"https://openalex.org/C2989005","wikidata":"https://www.wikidata.org/wiki/Q214963","display_name":"Nuclear medicine","level":1,"score":0.41617250442504883},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3273530602455139},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.13751795887947083},{"id":"https://openalex.org/C36454342","wikidata":"https://www.wikidata.org/wiki/Q245341","display_name":"Radiography","level":2,"score":0.1179959774017334},{"id":"https://openalex.org/C192562407","wikidata":"https://www.wikidata.org/wiki/Q228736","display_name":"Materials science","level":0,"score":0.0},{"id":"https://openalex.org/C191897082","wikidata":"https://www.wikidata.org/wiki/Q11467","display_name":"Metallurgy","level":1,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1177/2325967114s00110","doi":"https://doi.org/10.1177/2325967114s00110","is_oa":true,"landing_page_url":"https://doi.org/10.1177/2325967114s00110","pdf_url":"https://journals.sagepub.com/doi/pdf/10.1177/2325967114S00110","source":{"id":"https://openalex.org/S2755168269","display_name":"Orthopaedic Journal of Sports Medicine","issn_l":"2325-9671","issn":["2325-9671"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Orthopaedic Journal of Sports Medicine","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:3605972","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/4597576","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:4597576","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/4597576","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Orthop J Sports Med","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:9a5ea72187bb41c6874b60bcfa9ae084","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/9a5ea72187bb41c6874b60bcfa9ae084","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Orthopaedic Journal of Sports Medicine, Vol 2 (2014)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1177/2325967114s00110","doi":"https://doi.org/10.1177/2325967114s00110","is_oa":true,"landing_page_url":"https://doi.org/10.1177/2325967114s00110","pdf_url":"https://journals.sagepub.com/doi/pdf/10.1177/2325967114S00110","source":{"id":"https://openalex.org/S2755168269","display_name":"Orthopaedic Journal of Sports Medicine","issn_l":"2325-9671","issn":["2325-9671"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Orthopaedic Journal of Sports Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9537000060081482,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":false},"content_urls":{"pdf":"https://content.openalex.org/works/W2045548564.pdf"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2260503367","https://openalex.org/W2741593742","https://openalex.org/W2256289862","https://openalex.org/W2346689906","https://openalex.org/W1524936220","https://openalex.org/W2599432262","https://openalex.org/W2326379445","https://openalex.org/W2914514832","https://openalex.org/W4411669862","https://openalex.org/W2098553676"],"abstract_inverted_index":{"Objectives:":[0],"Increases":[1],"in":[2,25,130,134,163,223,410,446,492],"rates":[3],"of":[4,8,16,40,57,67,78,103,111,115,159,169,178,195,207,214,262,319,345,361,375,424,437,454,473],"participation":[5],"and":[6,22,53,65,81,133,172,183,200,211,241,250,278,287,302,325,358,386,413,452,485],"intensity":[7],"youth":[9],"sports":[10],"have":[11,429],"led":[12],"to":[13,29,38,61,140,156,298,304,339,408,459,467],"elevated":[14],"incidences":[15],"anterior":[17],"cruciate":[18],"ligament":[19],"(ACL)":[20],"injury":[21],"ACL":[23],"reconstruction":[24,35],"adolescents.":[26],"When":[27],"applied":[28],"the":[30,41,48,63,68,76,112,157,160,164,167,212,215,227,230,236,255,263,266,292,299,305,320,340,355,364,390,425,441,474,505],"skeletally":[31],"immature":[32],"patient,":[33],"traditional":[34],"techniques":[36],"lead":[37],"violations":[39,72,369,382,391,404,418,453,498],"growth":[42,52,70,380,411,438],"plates":[43],"that":[44,73,329,383,401],"carry":[45],"with":[46,176,191],"them":[47],"potential":[49],"for":[50,188,235,254,265,273,291,354,363,420,495,504],"disturbed":[51],"deformity.":[54,415],"The":[55,258],"purpose":[56],"this":[58],"study":[59],"was":[60,154,330],"compare":[62],"volume":[64,210,428],"location":[66,158],"femoral":[69,161,300],"plate":[71,86,381],"follow":[74],"from":[75,98],"use":[77],"anteromedial":[79],"(AM)":[80],"transtibial":[82],"(TT)":[83],"techniques.":[84],"Growth":[85],"disturbances":[87],"were":[88,109,138,186,217,245,282,384],"quantified":[89],"by":[90,270],"performing":[91],"simulated":[92,170,192,352],"reconstructions":[93,353],"on":[94],"computer":[95,144],"models":[96,145],"created":[97,309],"magnetic":[99],"resonance":[100],"(MR)":[101],"images":[102],"adolescent":[104,117],"knees.":[105],"Methods:":[106],"MR":[107],"scans":[108,137],"made":[110],"right":[113],"knees":[114],"17":[116,350],"participants":[118],"(10":[119],"M;":[120],"7":[121,196,237,274],"F;":[122],"mean":[123,231,259],"age":[124],"11.4":[125],"\u00b1":[126],"2.0":[127],"y)":[128],"positioned":[129],"both":[131,208],"extension":[132],"flexion.":[135],"These":[136],"used":[139],"construct":[141],"three":[142],"dimensional":[143],"using":[146,219,310,393,462,481],"Simpleware":[147],"imaging":[148],"software.":[149],"An":[150],"orthopedic":[151],"surgeon,":[152],"who":[153],"blinded":[155],"physis":[162,271,321,450],"models,":[165],"specified":[166],"locations":[168],"AM":[171,228,267,312,356,377,506],"TT":[173,256,293,341,365,395],"tunnels.":[174],"Tunnels":[175,308],"lengths":[177,487],"20":[179],"mm,":[180,182,197,199,238,240,275,277],"25":[181],"30":[184],"mm":[185,202,243,280],"placed":[187],"each":[189],"subject":[190],"drill":[193,466],"diameters":[194],"8":[198,239,276],"9":[201,242,279],"(Figure":[203],"1).":[204],"Normalized":[205],"measures":[206],"violation":[209,216,233,264,328],"laterality":[213],"computed":[218],"routines":[220],"custom":[221],"written":[222],"MATLAB.":[224],"Results:":[225],"For":[226],"approach,":[229,268],"normalized":[232,269],"volumes":[234],"drills":[244,281,484],"4.14%,":[246],"5.02%,":[247],"6.01%,":[248],"respectively,":[249,286],"3.84%,":[251],"4.70%,":[252],"5.65%":[253],"approach.":[257,342,475,507],"lateral":[260,306,333,388,403],"positions":[261],"width":[272],"0.579,":[283],"0.590,":[284],"0.600,":[285],"0.293,":[288],"0.290,":[289],"0.286":[290],"approach":[294,313,357,366,378],"(with":[295],"0.000":[296],"corresponding":[297],"midline":[301],"1.000":[303],"cortex).":[307],"an":[311,376],"disrupted":[314],"a":[315,327,394,434,463,469],"significantly":[316,331],"larger":[317,385,449,464,482],"percentage":[318],"(p":[322,334],"=":[323],"0.007)":[324],"produced":[326,367,379],"more":[332,387,402,406,421],"<":[335],"0.001)":[336],"when":[337,461,480],"compared":[338],"Sixteen":[343],"out":[344],"153":[346],"(9":[347],"conditions":[348],"x":[349],"subjects)":[351],"ten":[359],"(out":[360],"153)":[362],"growth-plate":[368,497],"greater":[370,435,457,501],"than":[371,389,422,502],"8%.":[372],"Conclusion:":[373],"Use":[374],"generated":[392],"technique.":[396],"It":[397],"has":[398],"been":[399,430],"suggested":[400],"are":[405],"likely":[407],"result":[409],"limitation":[412],"valgus":[414],"In":[416,440],"addition,":[417],"accounting":[419],"8%":[423,455,503],"total":[426],"physeal":[427],"identified":[431],"as":[432],"posing":[433],"risk":[436],"disturbance.":[439],"present":[442],"study,":[443],"younger":[444,493],"subjects":[445,494],"general":[447],"had":[448],"violations,":[451],"or":[456,489],"tended":[458],"occur":[460],"diameter":[465,483],"create":[468],"longer":[470],"tunnel,":[471],"regardless":[472],"Caution":[476],"should":[477],"be":[478,500],"taken":[479],"tunnel":[486],"25mm":[488],"greater,":[490],"especially":[491],"whom":[496],"may":[499]},"counts_by_year":[],"updated_date":"2026-10-27T15:51:10.671819","created_date":"2016-06-24T00:00:00"}