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

  • Julien Henry
  • Franck ChotelEmail author
  • Julien Chouteau
  • Michel Henri Fessy
  • Jérôme Bérard
  • Bernard Moyen
Knee

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.

Keywords

Anterior cruciate ligament Meniscus Children Adolescent Surgery Skeletally immature Delayed Reconstruction 

Notes

Acknowledgments

We wish to thank Dr. Rollier for his contribution during this study and the Department of Biostatistics of the Hospices Civils de Lyon, Lacassagne F-69424, France.

Conflict of interest statement

The authors declare that they have no conflict of interest.

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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Julien Henry
    • 1
  • Franck Chotel
    • 2
    Email author
  • Julien Chouteau
    • 1
  • Michel Henri Fessy
    • 1
  • Jérôme Bérard
    • 2
  • Bernard Moyen
    • 1
  1. 1.Service de Chirurgie Orthopédique, de Traumatologie et de Médecine du SportCentre Hospitalier Lyon-SudPierre Bénite, CedexFrance
  2. 2.Service de Chirurgie Orthopédique PédiatriqueHôpital Universitaire Mère Enfant de LyonBronFrance

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