Konrads Christian, Döbele Stefan, Ateschrang Atesch, Ahmad Sufian S
Department of Trauma and Reconstructive Surgery, BG Klinik, University of Tübingen, Germany.
J Clin Orthop Trauma. 2020 Aug 28;13:46-49. doi: 10.1016/j.jcot.2020.08.022. eCollection 2021 Feb.
Indications and outcomes of anterior cruciate ligament (ACL) reconstruction in children and adolescents is still controversial. It was the aim of this study to analyze outcomes of anterior cruciate ligament reconstruction in this special age group.
Retrospectively, we analyzed 62 consecutive cases of ACL reconstruction using a physis crossing technique in six to 16-year-old patients with a mean follow-up of 69 months.
Cases operated later than six weeks after trauma had significantly more meniscal lesions than patients operated within six weeks of trauma. At last follow-up, we found good or very good subjective and objective results in 71% of the patients.
In active and healthy children with anterior knee instability after ACL tear, ligament reconstruction is a safe and successful procedure and should be considered within six weeks of trauma because instability seems to promote secondary meniscal lesions.
儿童和青少年前交叉韧带（ACL）重建的适应证和结果仍存在争议。本研究的目的是分析这一特殊年龄组前交叉韧带重建的结果。
我们回顾性分析了62例6至16岁患者采用跨越骨骺技术进行ACL重建的连续病例，平均随访69个月。
外伤后六周后手术的病例半月板损伤明显多于外伤后六周内手术的患者。在末次随访时，我们发现71%的患者主观和客观结果良好或非常好。
对于ACL撕裂后膝关节前侧不稳定的活跃健康儿童，韧带重建是一种安全且成功的手术，应在创伤后六周内考虑，因为不稳定似乎会促进继发性半月板损伤。
