• Knee Surg Sports Traumatol Arthrosc · Jul 2009

    Comparative Study

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

    • Julien Henry, Franck Chotel, Julien Chouteau, Michel Henri Fessy, Jérôme Bérard, and Bernard Moyen.
    • Service de Chirurgie Orthopédique, de Traumatologie et de Médecine du Sport, Centre Hospitalier Lyon-Sud, Chemin du Grand Revoyer, 69495, Pierre Bénite, Cedex, France. Henry.ju@voila.fr
    • Knee Surg Sports Traumatol Arthrosc. 2009 Jul 1; 17 (7): 748-55.

    AbstractThe 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.

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