Current research shows favorable patient-reported outcomes and high return-to-sport rates after ACL reconstruction in skeletally immature patients. Graft rupture (ACL retear) rates are low, but notably higher than in most adult populations. Historically, there has been insufficient research to comprehensively compare reconstruction techniques used in this patient population. However, thoughtful systematic reviews and multicenter prospective studies are emerging to address this deficit. Also, more recent data suggests the addition of lateral extra-articular procedures and stringent return-to-sports testing may lower retear rates. Physeal-sparing and physeal-respecting ACL reconstructions result in stabilization of the knee, while respecting the growth remaining in children or skeletally immature adolescents. Future research will be essential to compare these techniques, given that more than one may be appropriate for patients of a specific age and skeletal maturity.
Keyphrases
- patient reported outcomes
- end stage renal disease
- chronic kidney disease
- ejection fraction
- newly diagnosed
- young adults
- prognostic factors
- peritoneal dialysis
- anterior cruciate ligament
- randomized controlled trial
- clinical trial
- magnetic resonance imaging
- physical activity
- machine learning
- minimally invasive
- deep learning
- big data
- electronic health record
- image quality