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. 2017 Mar 13;5(3):2325967117693604. doi: 10.1177/2325967117693604

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© The Author(s) 2017

This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License (http://www.creativecommons.org/licenses/by-nc-nd/3.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).

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Figure 3. — Knee radiographs of a 9-year-old girl with an anterior cruciate ligament (ACL) tear show proximal tibial bone spur formation (arrow), which appeared preoperatively from (A) the time of injury to (B) 1 week, (C) 1 month, and (D) 8 months later, prior to split tibial tunnel all-epiphyseal ACL reconstruction. (E) Immediate postoperative and (F) 2-year follow-up anteroposterior knee radiographs show increasing bilateral genu valgum. (G) Two-year follow-up anteroposterior lower extremity radiograph shows bilateral genu valgum, which was treated with bilateral hemiepiphysiodesis. (H) At 3.7 years, radiographs continue to show genu valgum and development of a leg-length discrepancy, which was treated with a proximal tibial lateral opening wedge osteotomy. (I) At 5 years, her genu valgum had improved and her leg-length discrepancy had resolved.