Journal ArticleDOI
Management and complications of anterior cruciate ligament injuries in skeletally immature patients: survey of the Herodicus Society and The ACL Study Group.
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Based on this experience, a guarded approach to ACL reconstruction in the skeletally immature patient with careful attention to technique and follow-up is recommended.Abstract:
Expert opinion regarding experience with the management and complications of pediatric anterior cruciate ligament (ACL) injuries was studied by surveying members of The Herodicus Society and The ACL Study Group. There was large practice variation in initial management and ACL reconstruction technique. There were 15 reported cases of growth disturbance: 8 cases of distal femoral valgus deformity with arrest of the lateral distal femoral physis, 3 cases of tibial recurvatum with arrest of the tibial tubercle apophysis, 2 cases of genu valgum without arrest, and 2 cases of leg length discrepancy. Associated factors included fixation hardware across the lateral distal femoral physis in 3 cases, bone plugs of a patellar tendon graft across the distal femoral physis in 3 cases, large (12 mm) tunnels in 2 cases, fixation hardware across the tibial tubercle apophysis in 3 cases, lateral extra-articular tenodesis in 2 cases, and over-the-top femoral position in 1 case. Based on this experience, we recommend a guarded approach to ACL reconstruction in the skeletally immature patient with careful attention to technique and follow-up.read more
Citations
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Growth at Adolescence.
TL;DR: This beautifully printed and well-illustrated stiff paperbacked volume is, and will for a few years yet remain, an invaluable companion to a full-scale textbook on congenital heart disease.
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Treatment of Anterior Cruciate Ligament Injuries, Part I:
TL;DR: This article was initiated with the use of the PubMed database and a comprehensive search of articles that appeared between January 1994 to the present, to determine the current state of knowledge about the treatment of anterior cruciate ligament injuries.
Journal ArticleDOI
Epidemiology of anterior cruciate ligament reconstruction: trends, readmissions, and subsequent knee surgery.
Stephen Lyman,Panagiotis Koulouvaris,Seth L. Sherman,Huong T. Do,Lisa A. Mandl,Robert G. Marx +5 more
TL;DR: While anterior cruciate ligament reconstruction appears to be a safe procedure, the risk of a subsequent operation on either knee is increased among younger patients and those treated by a lower-volume surgeon or at a higher-volume hospital.
Journal ArticleDOI
Increased Risk of Revision With Hamstring Tendon Grafts Compared With Patellar Tendon Grafts After Anterior Cruciate Ligament Reconstruction A Study of 12,643 Patients From the Norwegian Cruciate Ligament Registry, 2004-2012
Andreas Persson,Knut Andreas Fjeldsgaard,Jan-Erik Gjertsen,Asle B. Kjellsen,Lars Engebretsen,Lars Engebretsen,Randi Hole,Jonas M. Fevang +7 more
TL;DR: Patients with HT grafts had twice the risk of revision compared with patients with PT grafts, and younger age was the most important risk factor for revision, and no effect was seen for sex.
Journal ArticleDOI
Physeal Sparing Reconstruction of the Anterior Cruciate Ligament in Skeletally Immature Prepubescent Children and Adolescents
TL;DR: Physeal sparing, combined intra-artsicular and extra-articular reconstruction of the anterior cruciate ligament with use of an autogenous iliotibial band graft in skeletally immature prepubescent children and adolescents provides excellent functional outcome with a low revision rate and a minimal risk of growth disturbance.
References
More filters
Journal Article
Growth at Adolescence.
TL;DR: This beautifully printed and well-illustrated stiff paperbacked volume is, and will for a few years yet remain, an invaluable companion to a full-scale textbook on congenital heart disease.
Journal ArticleDOI
Tears of the anterior cruciate ligament in adolescents.
A B Lipscomb,Allen F. Anderson +1 more
TL;DR: From 1977 to 1983, a surgical reconstruction of the anterior cruciate ligament was done, using the semitendinosus and gracilis tendons, in twenty-four athletes who were twelve to fifteen years old, with mixed results.
Journal ArticleDOI
Anterior cruciate ligament tears in skeletally immature patients: meniscal pathology at presentation and after attempted conservative treatment.
TL;DR: Meniscal pathology is commonly associated with ACL tears in skeletally immature patients and arthrography or arthroscopy is recommended to evaluate patients with suspected ACL tears and it is concluded that meniscal damage an average of 15 months after initial injury.
Journal ArticleDOI
The conservative treatment of complete tears of the anterior cruciate ligament in skeletally immature patients
TL;DR: The results of non-operative treatment for ACL injuries in this age group are poor and not acceptable, and Radiological evidence of degenerative changes was found in 11 of the 18 patients.
Journal ArticleDOI
Anterior cruciate ligament injuries in the young athlete with open physes
TL;DR: From 1980 to 1985, 40 patients under the age of 14 with open physes were treated for midsubstance tears of the ACL at the Methodist Sports Medicine Center, and it is recommended arthroscopy and examination under anesthesia for the young patient with ACL tears.