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- Title
Rupture of the anterior cruciate ligament in children: early reconstruction with open physes or delayed reconstruction to skeletal maturity?
- Authors
Henry J; Chotel F; Chouteau J; Fessy MH; Bérard J; Moyen B; Henry, Julien; Chotel, Franck; Chouteau, Julien; Fessy, Michel Henri; Bérard, Jérôme; Moyen, Bernard
- 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.
- Publication
Knee Surgery, Sports Traumatology, Arthroscopy, 2009, Vol 17, Issue 5, p748
- ISSN
0942-2056
- Publication type
journal article
- DOI
10.1007/s00167-009-0741-0