Tang Chun, Kwaees Tariq Adam, Accadbled Franck, Turati Marco, Green Daniel W, Nicolaou Nicolas
Department of Paediatric Orthopaedics and Spinal Surgery, Sheffield Children's Hospital, Sheffield Children's NHS Foundation Trust, Sheffield, UK.
Department of Orthopaedics, Children's Hospital, CHU de Toulouse, Toulouse, France.
J Child Orthop. 2023 Feb;17(1):12-21. doi: 10.1177/18632521221149059. Epub 2023 Jan 13.
Anterior cruciate ligament injury in the child and adolescent patient remains a controversial topic when considering management, especially regarding surgical choices. Treatment variations are seen not just when comparing different countries but also within nations. This arises partly as contemporary treatment is mostly inferred from the adult population who physiologically and in terms of outcomes differ significantly from children. There is an increasing body of evidence for this cohort of patients who have specific challenges and difficulties when determining the optimum treatment.
Within this article, we will summarize the current evidence for surgical management of anterior cruciate ligament injury for the pediatric patient.
There remain many controversies and gaps inthe treatment of Paediatric Anterior cruciate ligament reconstruction and this high risk cohort continues to cause difficulty in identifying the best mode of surgical management.
level IV.
在考虑儿童和青少年患者前交叉韧带损伤的治疗，尤其是手术选择时，这仍然是一个有争议的话题。不仅在比较不同国家时，而且在同一国家内，都存在治疗差异。部分原因是当代治疗方法大多是从成年人那里推断而来的，而成年人在生理和治疗结果方面与儿童有很大差异。对于这一特定患者群体，在确定最佳治疗方案时存在特殊挑战和困难，相关证据越来越多。
在本文中，我们将总结目前小儿前交叉韧带损伤手术治疗的证据。
小儿前交叉韧带重建治疗仍存在许多争议和空白，这一高风险患者群体在确定最佳手术治疗方式方面仍然存在困难。
四级。
