Peterson Devin C, Ayeni Olufemi R
Department of Surgery, McMaster University, 1200 Main Street West, Suite 4E11, Hamilton, ON, Canada.
Department of Surgery, McMaster University, 1200 Main Street West, Suite 4E15, Hamilton, ON, Canada.
Curr Rev Musculoskelet Med. 2016 Dec;9(4):339-347. doi: 10.1007/s12178-016-9358-3.
Treatment of pediatric anterior cruciate injuries have become an area of controversy sparking much debate about best management strategies. Delaying surgery until skeletal maturity has often been shown to result in unfavorable outcomes due to concomitant meniscal and chondral injuries in this population. There have been numerous techniques used to reconstruct the ACL in the skeletally immature patient; however, most studies are limited by small patient numbers and other methodological concerns. With recent publications reporting failure rates as high as 15-25 % and growth disturbances being uncommon but now reported within almost every technical category, patient and caregiver education become of paramount importance. Key principles will be outlined that may help to avoid some of the pitfalls that occur when dealing with this unique population.
小儿前交叉韧带损伤的治疗已成为一个充满争议的领域，引发了关于最佳管理策略的诸多争论。由于该人群中常伴有半月板和软骨损伤，将手术推迟到骨骼成熟往往会导致不良后果。在骨骼未成熟的患者中，已经有许多技术用于重建前交叉韧带；然而，大多数研究受到患者数量少和其他方法学问题的限制。最近的出版物报道失败率高达15% - 25%，生长紊乱虽不常见，但现在几乎在每个技术类别中都有报道，因此患者和护理人员的教育变得至关重要。将概述一些关键原则，这些原则可能有助于避免在处理这一特殊人群时出现的一些陷阱。
