Imperial College NHS Trust, London W6 8RF, UK.
Bone Joint J. 2013 Nov;95-B(11):1562-9. doi: 10.1302/0301-620X.95B11.31778.
Recent reports have suggested an increase in the number of anterior cruciate ligament (ACL) injuries in children, although their true incidence is unknown. The prognosis of the ACL-deficient knee in young active individuals is poor because of secondary meniscal tears, persistent instability and early-onset osteoarthritis. The aim of surgical reconstruction is to provide stability while avoiding physeal injury. Techniques of reconstruction include transphyseal, extraphyseal or partial physeal sparing procedures. In this paper we review the management of ACL tears in skeletally immature patients.
最近的报告表明，儿童前交叉韧带（ACL）损伤的数量有所增加，尽管其真实发病率尚不清楚。由于继发半月板撕裂、持续不稳定和早发性骨关节炎，年轻活跃人群中 ACL 缺失的膝关节预后较差。手术重建的目的是提供稳定性，同时避免骺板损伤。重建技术包括经骺板、骺板外或部分骺板保留手术。本文我们回顾了对骨骼未成熟患者 ACL 撕裂的处理。
