Increased incidence of anterior cruciate ligament revision surgery in paediatric verses adult population

  • Diego Costa AsturEmail author
  • Charles Marcon Cachoeira
  • Tierri da Silva Vieira
  • Pedro Debieux
  • Camila Cohen Kaleka
  • Moisés Cohen



To evaluate the anterior cruciate ligament graft failure rate in a population of 1376 patients submitted to single-bundle anterior cruciate ligament reconstruction procedure. It was hypothesized that the younger the patient, the greater the chance of a new anterior cruciate ligament graft ligament injury.


A retrospective chart review was performed on patients who had SB anterior cruciate ligament reconstruction between the years, 2001 and 2016, with a minimum post-operative follow-up period of 6 months. The patient population was divided into three groups, according to age: group 1—under 16 years old; group 2—between 16 and 18 years old; and group 3—older than 18 years old. Data collected included sex, laterality and graft choice data.


In group 1 (under 16 years old), there were 61 primary ACL surgeries performed and 15 (24.6%) revision ACL surgeries. In group 2 (between 16 and 18 years old), there was 57 primary ACL procedures, of which 10 (17.5%) were revisions. In the group 3 (older than 18 years of age), 1258 surgeries were done with 116 (9.2%) revisions.


The rate of ACL revision surgery in patients under 16 years of age was significantly higher than that found in patients older than 18 years old. When compared to the population between 16 and 18 years old, there were a higher number of failure cases, however, statistically non-significant.

Level of evidence



ACL reconstruction Graft failure Knee Open physis Paediatric population 



Anterior cruciate ligament


Ethics and Research Committee


Compliance with ethical standards

Conflict of interest

All authors declare no conflict of interest.


There was no funding for this study.

Ethical approval

The present study was performed and approved by Ethics and Research Committee (CEP) from Universidade Federal de São Paulo (São Paulo/Brazil) (1181/11).


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Copyright information

© European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2017

Authors and Affiliations

  • Diego Costa Astur
    • 1
    Email author
  • Charles Marcon Cachoeira
    • 2
  • Tierri da Silva Vieira
    • 2
  • Pedro Debieux
    • 2
  • Camila Cohen Kaleka
    • 2
  • Moisés Cohen
    • 1
  1. 1.Orthopaedic Surgeon from Centro de Traumatologia do Esporte - Escola Paulista de Medicina/UNIFESPSão PauloBrazil
  2. 2.Instituto Cohen – Ortopedia, Reabilitação e Medicina do EsporteSão PauloBrazil

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