The ESSKA paediatric anterior cruciate ligament monitoring initiative

  • Håvard MoksnesEmail author
  • Lars Engebretsen
  • Romain Seil



To survey and describe the treatment of paediatric anterior cruciate ligament (ACL) injuries performed by orthopaedic surgeons affiliated with the European Society for Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA).


A closed e-survey was submitted to all registered members and affiliates of ESSKA in July 2013. All recipients were invited to participate in the survey by answering 34 questions online. The list of potential respondents was extracted from the ESSKA office database.


Invitation was sent to 2236 ESSKA members and affiliates, and received 491 (22 %) unique responses. Among the respondents, 445 (91 %) were orthopaedic surgeons, with 354 (72 %) stating that they were involved in treatment of paediatric ACL injuries. The main findings were that there are substantial differences with regard to preferred treatment algorithms, surgical techniques and long-term follow-up procedures. The summed estimate of skeletally immature children with ACL injury seen by the responders in 2012 was minimum 1923 individuals, and a minimum of 102 clinically relevant post-operative growth disturbances were registered.


The present survey documents that the incidences of paediatric ACL injuries and idiopathic growth disturbances may be higher than previously estimated. Treatment algorithms and surgical techniques are highly diverse, and consensus could not be identified. It is worrying that only half the surgeons reported to follow-up children until skeletal maturity after surgical treatment. The results of this survey highlight the importance of international multicentre studies on paediatric ACL treatment and the development of an outcome registry to enable prospective data collections.

Level of evidence



ACL Paediatric Surgery Treatment Growth disturbances Rehabilitation 

Supplementary material

167_2015_3746_MOESM1_ESM.pdf (224 kb)
Supplementary material 1 (PDF 224 kb)
167_2015_3746_MOESM2_ESM.pdf (533 kb)
Supplementary material 2 (PDF 533 kb)


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Copyright information

© European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2015

Authors and Affiliations

  • Håvard Moksnes
    • 1
    • 2
    Email author
  • Lars Engebretsen
    • 1
    • 3
  • Romain Seil
    • 4
    • 5
  1. 1.Oslo Sports Trauma Research CenterNorwegian School of Sport SciencesOsloNorway
  2. 2.Norwegian Olympic Elite Sports Program (Olympiatoppen)OsloNorway
  3. 3.Orthopedic DepartmentOslo University HospitalOsloNorway
  4. 4.Department of Orthopaedic SurgeryCentre Hospitalier LuxembourgLuxembourgLuxembourg
  5. 5.Sports Medicine Research LaboratoryLuxembourg Institute of HealthLuxembourgLuxembourg

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