Complications After Pediatric ACL Reconstruction: A Meta-analysis.

@article{Wong2019ComplicationsAP,
  title={Complications After Pediatric ACL Reconstruction: A Meta-analysis.},
  author={Stephanie E. Wong and Brian T. Feeley and Nirav Kiritkumar Pandya},
  journal={Journal of pediatric orthopedics},
  year={2019},
  volume={39 8},
  pages={
          e566-e571
        }
}
BACKGROUND The purpose of this meta-analysis is to review clinical outcomes and complications following pediatric anterior cruciate ligament (ACL) reconstruction. METHODS The PubMed and EMBASE databases were searched for studies on ACL ruptures in the skeletally immature from 1985 to 2016. Full-text studies in English and performed on humans were included (n=5718). Titles included discussed operative intervention on skeletally immature patients with ACL tears (n=160). Studies that reported… 
Complication rates following all-epiphyseal ACL reconstructions in skeletally immature patients
TLDR
The safety of a physeal-sparing anterior cruciate ligament reconstruction technique (ACLR), performed with Orthopediatrics (Warsaw, IN) equipment, by assessing complications was evaluated, with no growth-related complications at 19.2 months.
ACL injuries before 15 years of age: could the young become an athlete?
TLDR
It is demonstrated that ACL reconstruction is superior to conservative treatment and 'healing response' in terms of revision rates and knee laxity and patients and parents should be informed that ACL injuries are lesions that may influence the level of sport at a 5-year follow-up.
Failure Rates of Autograft and Allograft ACL Reconstruction in Patients 19 Years of Age and Younger
TLDR
Allograft ACLR in pediatric and adolescent patients should be used judiciously, as existing studies revealed a significantly higher failure rate for allograft compared with autograft ACLR in this patient population.
Association Between Knee Alignment and Meniscal Tear in Pediatric Patients with Anterior Cruciate Ligament Injury.
TLDR
Delayed ACL reconstruction in patients ≤16 years old with varus-aligned knees might be associated with an increased incidence of secondary medial meniscal tears and should be considered.
Anterior Cruciate Ligament Re-tear and Revision Reconstruction in the Skeletally Immature Athlete
TLDR
There is limited literature on revision ACL reconstruction in the skeletally immature athlete and an understanding of all the risk factors for failure is essential in order to achieve treatment success.
Skeletally immature patient showed lower graft maturity than skeletally mature patient after ACL reconstruction with a rounded rectangular femoral tunnel
TLDR
Reconstructed ACL in skeletally immature patients showed higher signal intensity on MRI at 6 months postoperatively, and skeletal immature patients had higher graft revision and residual rotational laxity rates.
Anatomic all-epiphyseal ACL reconstruction with “inside-out” femoral tunnel placement in immature patients yields high return to sport rates and functional outcome scores a minimum of 24 months after reconstruction
TLDR
Anatomic all-epiphyseal anatomic ACL reconstruction appears to be useful in patients with significant projected remaining growth, with good return-to-sport outcomes and minimal risk of clinically significant physeal complications, but further large sample size, high-quality works are necessary to validate the findings.
What's New in Skeletally Immature ACL?
Quadriceps Strength Is Influenced by Skeletal Maturity in Adolescents Recovering From Anterior Cruciate Ligament Reconstruction
TLDR
After ACLR, adolescent patients with open physes had higher quadriceps strength compared with patients with closed physes, suggesting that functional recovery is not hindered by the presence of an incompletely closed physis.
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