High Revision Rate After ACL Reconstruction in Young Patients
Author Information
Author(s): Bartek Benjamin, Jung Tobias, Lackner Theresa, Schatka Imke, Gwinner Clemens, Walter-Rittel Thula, Meccariello Luigi
Primary Institution: Charité-University Medicine Berlin
Hypothesis
This study aims to evaluate the clinical outcomes of transphyseal ACL reconstruction in patients with open growth plates.
Conclusion
Transphyseal ACL reconstruction in skeletally immature patients provides favorable clinical outcomes with minimal risk of growth disturbance, but has a high revision rate.
Supporting Evidence
- 26% of patients experienced ACL graft rupture and required revision surgery.
- The mean subjective IKDC score was 91.8, indicating good knee function.
- Patients who underwent revision ACL reconstruction showed significantly greater length growth compared to those with intact ACL reconstruction.
Takeaway
This study looked at kids who had surgery to fix their knee ligaments. Most kids did well, but some had to have the surgery done again.
Methodology
This retrospective study included skeletally immature patients with full-thickness ACL tears and confirmed open physis, evaluating clinical outcomes post-surgery.
Potential Biases
Potential confounding factors due to the inclusion of patients with concomitant injuries.
Limitations
The study's retrospective nature limits control over confounding factors, and the small sample size restricts generalizability.
Participant Demographics
15 females and 16 males, mean age 13.6 years.
Statistical Information
P-Value
0.02
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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