20 Years of Pediatric Anterior Cruciate Ligament Reconstruction in New York State

Abstract

This study quantifies the increasing rate of ACL reconstruction in the skeletally immature and suggests that there may be some disparities in care based on insurance status.

Anterior cruciate ligament reconstruction in skeletally immature patients

“…The study also revealed that diagnosis and reconstruction of pediatric ACL tears were rising at a rate significantly higher than that of adults [12]. These numbers were similar to that seen in a populationbased study from New York State that revealed that the rate of ACL reconstructions over the last 20 years has more than doubled in patients aged 3 to 20 years [13].…”

Transphyseal ACL Reconstruction in Skeletally Immature Patients: Does Independent Femoral Tunnel Drilling Place the Physis at Greater Risk Compared to Transtibial Drilling?

“…5,25,27,39 Many techniques have been described for ACL reconstruction in skeletally immature patients. 6,9,28 Transphyseal ACL reconstruction involves drilling bone tunnels across an open physis and fixing a soft tissue graft away from the physis.…”

Epidemiology of Anterior Cruciate Ligament Reconstruction in Brazil's Public Health System

“…Nevertheless, this finding is consistent with a study conducted in Sweden which also showed that children aged below 10 years old account for less than 1% of total ACLR 4 . Maybe, this finding can be related with the fact that ACL tear is a rare injury in children 15,16 and generally surgeons prefer a conservative treatment for them due to the open growth plates that may be damaged during ACLR 17 . Surgery between those with 11 to 20 years old presented a significant increase over time; the same findings were seen in Sweden and the U.S. and can be explained by an increased participation in competitive sports by a youth population 4,17 .…”

“…Maybe, this finding can be related with the fact that ACL tear is a rare injury in children 15,16 and generally surgeons prefer a conservative treatment for them due to the open growth plates that may be damaged during ACLR 17 . Surgery between those with 11 to 20 years old presented a significant increase over time; the same findings were seen in Sweden and the U.S. and can be explained by an increased participation in competitive sports by a youth population 4,17 . In our study, people aged between 21 to 40 years accounted for 2/3 of the total ACLR, most likely because of the high activity levels and participation in sports 9,18 .…”