Abstract
The treatment of ligamentous tears of the anterior cruciate ligament (ACL) in children is still controversial. Considering the unfavourable natural history with a high number of secondary meniscus lesions and early signs of osteoarthritis, a long-term conservative treatment can no longer be recommended on a routine basis. With respect to the rarity of the cases, lacking medium and long-term data, the various types of proposed surgical procedures and the limited number of basic science studies, ACL reconstructions in young children (Tanner stages 1 and 2) cannot yet be proposed as a routine surgical procedure. Indications for surgery should be chosen with care and the complication potential should be considered. A precise knowledge of the anatomical specificities of the child's knee and a large experience in ACL reconstruction surgery should be mandatory when taking care of these injuries. The present review gives a current overview of the management of these lesions in pre-adolescent children.
Translated title of the contribution | ACL reconstructions with open growth plates |
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Original language | German |
Pages (from-to) | 48-52 |
Number of pages | 5 |
Journal | Arthroskopie |
Volume | 18 |
Issue number | 1 |
DOIs | |
Publication status | Published - Feb 2005 |
Externally published | Yes |
Keywords
- Anterior cruciate ligament
- Anterior cruciate ligament reconstruction
- Child
- Growth
- Knee