Surgical‐experimental principles of anterior cruciate ligament (ACL) reconstruction with open growth plates
Abstract Objective To review surgical and animal experimental studies performed with open growth plates in relation with pediatric anterior cruciate ligament (ACL) reconstruction. Backround When it comes to the treatment of ACL injured children, there is a lack of current international guidelines, l...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Journal of Experimental Orthopaedics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40634-015-0027-z |
| _version_ | 1827356132667031552 |
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| author | Romain Seil Frederick K Weitz Dietrich Pape |
| author_facet | Romain Seil Frederick K Weitz Dietrich Pape |
| author_sort | Romain Seil |
| collection | DOAJ |
| description | Abstract Objective To review surgical and animal experimental studies performed with open growth plates in relation with pediatric anterior cruciate ligament (ACL) reconstruction. Backround When it comes to the treatment of ACL injured children, there is a lack of current international guidelines, leaving the treating physicians with a therapeutic dilemma. A variety of surgical and animal experimental studies have been undertaken over the last decades in relation with open growth plates and ACL‐reconstruction. Method Based on our own previous animal experimental data, we highlighted 15 specific points concerning pediatric ACL‐reconstruction and reviewed additional literature concerning these individual items. Results Pediatric ACL‐reconstruction could be proven to be safe in animal models. Growth abnormalities, risk factors and factors, which were specifically related to biological healing processes in children, were identified. From them surgical principles for safe pediatric ACL replacements can be deducted. Applying these principles through a correct technical execution of surgery may prevent clinically significant growth changes. Conclusion Over the last 2 decades it has been shown that a technically correct pediatric ACL reconstruction has little risk in creating clinically significant growth abnormalities. Animal experiments support this hypothesis despite the fact that the gained knowledge cannot be fully generalized to humans. More long time follow‐up is needed to fully understand the complete risk factors related to ACL surgery with open growth plates. |
| first_indexed | 2024-03-08T04:55:23Z |
| format | Article |
| id | doaj.art-4968fb225bbc484ea72ca505870f2a95 |
| institution | Directory Open Access Journal |
| issn | 2197-1153 |
| language | English |
| last_indexed | 2024-03-08T04:55:23Z |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Experimental Orthopaedics |
| spelling | doaj.art-4968fb225bbc484ea72ca505870f2a952024-02-07T15:17:03ZengWileyJournal of Experimental Orthopaedics2197-11532015-01-0121n/an/a10.1186/s40634-015-0027-zSurgical‐experimental principles of anterior cruciate ligament (ACL) reconstruction with open growth platesRomain Seil0Frederick K Weitz1Dietrich Pape2Department of Orthopaedic SurgeryCentre Hospitalier LuxembourgClinique d’Eich. 78, rue d’EichL‐1460LuxembourgLuxembourgDepartment of Pediatric SurgeryUniversity of TampereTeiskontie 3533521TampereFinlandDepartment of Orthopaedic SurgeryCentre Hospitalier LuxembourgClinique d’Eich. 78, rue d’EichL‐1460LuxembourgLuxembourgAbstract Objective To review surgical and animal experimental studies performed with open growth plates in relation with pediatric anterior cruciate ligament (ACL) reconstruction. Backround When it comes to the treatment of ACL injured children, there is a lack of current international guidelines, leaving the treating physicians with a therapeutic dilemma. A variety of surgical and animal experimental studies have been undertaken over the last decades in relation with open growth plates and ACL‐reconstruction. Method Based on our own previous animal experimental data, we highlighted 15 specific points concerning pediatric ACL‐reconstruction and reviewed additional literature concerning these individual items. Results Pediatric ACL‐reconstruction could be proven to be safe in animal models. Growth abnormalities, risk factors and factors, which were specifically related to biological healing processes in children, were identified. From them surgical principles for safe pediatric ACL replacements can be deducted. Applying these principles through a correct technical execution of surgery may prevent clinically significant growth changes. Conclusion Over the last 2 decades it has been shown that a technically correct pediatric ACL reconstruction has little risk in creating clinically significant growth abnormalities. Animal experiments support this hypothesis despite the fact that the gained knowledge cannot be fully generalized to humans. More long time follow‐up is needed to fully understand the complete risk factors related to ACL surgery with open growth plates.https://doi.org/10.1186/s40634-015-0027-zAnterior Cruciate LigamentAnterior Cruciate Ligament ReconstructionGrowth PlateAnterior Cruciate Ligament InjuryFemoral Tunnel |
| spellingShingle | Romain Seil Frederick K Weitz Dietrich Pape Surgical‐experimental principles of anterior cruciate ligament (ACL) reconstruction with open growth plates Journal of Experimental Orthopaedics Anterior Cruciate Ligament Anterior Cruciate Ligament Reconstruction Growth Plate Anterior Cruciate Ligament Injury Femoral Tunnel |
| title | Surgical‐experimental principles of anterior cruciate ligament (ACL) reconstruction with open growth plates |
| title_full | Surgical‐experimental principles of anterior cruciate ligament (ACL) reconstruction with open growth plates |
| title_fullStr | Surgical‐experimental principles of anterior cruciate ligament (ACL) reconstruction with open growth plates |
| title_full_unstemmed | Surgical‐experimental principles of anterior cruciate ligament (ACL) reconstruction with open growth plates |
| title_short | Surgical‐experimental principles of anterior cruciate ligament (ACL) reconstruction with open growth plates |
| title_sort | surgical experimental principles of anterior cruciate ligament acl reconstruction with open growth plates |
| topic | Anterior Cruciate Ligament Anterior Cruciate Ligament Reconstruction Growth Plate Anterior Cruciate Ligament Injury Femoral Tunnel |
| url | https://doi.org/10.1186/s40634-015-0027-z |
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