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Objectives: Describing the results of the trans-physeal surgical technique on anterior cruciate ligament (ACL) tear and the appearance of eventual complications and setting the index of associated lesions from the initial diagnosis to surgery diagnosis. Methods: Retrospective study of patients under 18 intervened due to ACL injury with trans-physeal surgical technique between June 2010 and June 2018. Results: 39 patients were included, The average age was 14.7 years (9-17). Mean follow-up was 42 months (6-104) and average time until surgery was 10,7 months (1-48). Spearman correlation test associated positively (0.106) the increase in time to surgery and the increase in the number of associated injuries. There was 1 case of physeal bridge (2.5%) withlower limbs lenght discrepancy. Conclusion: Trans-physeal technique obtained good functional results with a low rate of complications at the end of followup in our serie. The increase in time to surgery was positively associated with the increase in associated injuries in the injured knee.

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