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Knee Surg Sports Traumatol Arthrosc. 2009 Jul;17(7):748-55. doi: 10.1007/s00167-009-0741-0. Epub 2009 Feb 28.

Rupture of the anterior cruciate ligament in children: early reconstruction with open physes or delayed reconstruction to skeletal maturity?

Author information

1
Service de Chirurgie Orthopédique, de Traumatologie et de Médecine du Sport, Centre Hospitalier Lyon-Sud, Chemin du Grand Revoyer, 69495, Pierre Bénite, Cedex, France. Henry.ju@voila.fr

Abstract

The purpose of this study was to compare two different strategies of management for ACL rupture in skeletally immature patient. In group 1, patients were treated in a children hospital by ACL reconstruction with open physis. In group 2, patients were treated in an adult hospital by delayed reconstruction at skeletal maturity assessed radiologically. Fifty-six consecutive patients were included in this retrospective study. Mean time from injury to surgery in group 1 and 2 was, respectively, 13.5 and 30 months. Patients from group 2 exhibited a higher rate of medial meniscal tears (41%) compare to group 1 (16%) and higher rate of meniscectomy. Both groups had the same rate of lateral meniscal tears. A temporary tibial valgus deformity was reported which was subsequently spontaneously resolved. No definitive growth disturbance was noticed. At 27 months mean follow-up, a best subjective IKDC score was found in group 1. Objective IKDC and radiological results were similar in both groups. Early ACL reconstruction is therefore a recommended option.

PMID:
19252897
DOI:
10.1007/s00167-009-0741-0
[Indexed for MEDLINE]

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