Journal of ISAKOS : joint disorders & orthopaedic sports medicine · 2026
Clinical outcomes and return to sport rates following anterior cruciate ligament reconstruction in skeletally immature pediatric patients aged 13 years or less. Higher failure to return to sport rates observed amongst female athletes in our cohort.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
O'Driscoll Conor S, Roopnarinesingh Ryan, Kiely Patrick, O'Toole Patrick
Аннотация
INTRODUCTION: The volume of anterior cruciate ligament (ACL) reconstruction surgery has increased worldwide; however, there remains a paucity of information relating to clinical outcomes in skeletally immature pediatric patients aged 13 years or less.
METHODS: Twenty-nine patients aged 13 years or less who underwent ACL reconstruction surgery over a 9-year period at our unit with a minimum 2-year follow-up were contacted. Data recorded included re-rupture, return to sport, and functional outcomes in terms of the Internal Knee Documentation Committee (IKDC) and Tegner scores. The mean age at the time of reconstruction surgery was 12 years and 9 months, with mean follow-up 65.6 months.
RESULTS: Twenty-two (76%) patients returned to sport at the same level or higher, at a mean of 12.9 months post-reconstruction, median 12 months. An analysis of those seven patients (24%) who did not return to sport showed a higher failure-to-return rate amongst female (45%), than male patients (11%), p = 0.071. The most common contributory reason cited for failure to return to sport was fear of re-injury, which was cited as a factor by each patient who did not return. The mean IKDC score was 94.4 and Tegner index level of activity declined from a mean of 8.7 to 7.8. Three patients (10%) experienced an ipsilateral re-rupture post ACL reconstruction. This occurred at a mean of 56 months (45-63) post-reconstruction. One patient (3%) experienced a contralateral ACL rupture.
CONCLUSION: We have shown that satisfactory clinical outcomes are attainable following ACL reconstruction surgery in young skeletally immature patients aged 13 years or less; however, ipsilateral re-rupture rates observed up to 10% require advanced discussion with patients and caregivers. Variation in return to play rates seen between genders in our sample may be further elucidated in future studies with larger patient numbers.
LEVEL OF EVIDENCE: IV.
METHODS: Twenty-nine patients aged 13 years or less who underwent ACL reconstruction surgery over a 9-year period at our unit with a minimum 2-year follow-up were contacted. Data recorded included re-rupture, return to sport, and functional outcomes in terms of the Internal Knee Documentation Committee (IKDC) and Tegner scores. The mean age at the time of reconstruction surgery was 12 years and 9 months, with mean follow-up 65.6 months.
RESULTS: Twenty-two (76%) patients returned to sport at the same level or higher, at a mean of 12.9 months post-reconstruction, median 12 months. An analysis of those seven patients (24%) who did not return to sport showed a higher failure-to-return rate amongst female (45%), than male patients (11%), p = 0.071. The most common contributory reason cited for failure to return to sport was fear of re-injury, which was cited as a factor by each patient who did not return. The mean IKDC score was 94.4 and Tegner index level of activity declined from a mean of 8.7 to 7.8. Three patients (10%) experienced an ipsilateral re-rupture post ACL reconstruction. This occurred at a mean of 56 months (45-63) post-reconstruction. One patient (3%) experienced a contralateral ACL rupture.
CONCLUSION: We have shown that satisfactory clinical outcomes are attainable following ACL reconstruction surgery in young skeletally immature patients aged 13 years or less; however, ipsilateral re-rupture rates observed up to 10% require advanced discussion with patients and caregivers. Variation in return to play rates seen between genders in our sample may be further elucidated in future studies with larger patient numbers.
LEVEL OF EVIDENCE: IV.