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Seil R, Weitz FK, Pape D. Surgical-experimental principles of anterior cruciate ligament (ACL) reconstruction with open growth plates. J Exp Orthop. 2015;2(1):11doi: 10.1186/s40634-015-0027-z.
Seil, R., Weitz, F. K., & Pape, D. (2015). Surgical-experimental principles of anterior cruciate ligament (ACL) reconstruction with open growth plates. Journal of experimental orthopaedics, 2(1), 11. https://doi.org/10.1186/s40634-015-0027-z
Seil, Romain, et al. "Surgical-experimental principles of anterior cruciate ligament (ACL) reconstruction with open growth plates." Journal of experimental orthopaedics vol. 2,1 (2015): 11. doi: https://doi.org/10.1186/s40634-015-0027-z
Seil R, Weitz FK, Pape D. Surgical-experimental principles of anterior cruciate ligament (ACL) reconstruction with open growth plates. J Exp Orthop. 2015 Dec;2(1):11. doi: 10.1186/s40634-015-0027-z. Epub 2015 May 10. PMID: 26914879; PMCID: PMC4538715.
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J Exp Orthop. 2015 Dec;2(1):11. doi: 10.1186/s40634-015-0027-z. Epub 2015 May 10.

Surgical-experimental principles of anterior cruciate ligament (ACL) reconstruction with open growth plates.

Journal of experimental orthopaedics

Romain Seil, Frederick K Weitz, Dietrich Pape

Affiliations

  1. Department of Orthopaedic Surgery, Centre Hospitalier Luxembourg, Clinique d'Eich. 78, rue d'Eich, L-1460, Luxembourg, Luxembourg. [email protected].
  2. Sports Medicine Research Laboratory, Luxembourg Institute of Health, 78 rue d'Eich, L-1460, Luxembourg, Luxembourg. [email protected].
  3. Department of Pediatric Surgery, University of Tampere, Teiskontie 35, 33521, Tampere, Finland. [email protected].
  4. Department of Orthopaedic Surgery, Centre Hospitalier Luxembourg, Clinique d'Eich. 78, rue d'Eich, L-1460, Luxembourg, Luxembourg. [email protected].
  5. Sports Medicine Research Laboratory, Luxembourg Institute of Health, 78 rue d'Eich, L-1460, Luxembourg, Luxembourg. [email protected].

PMID: 26914879 PMCID: PMC4538715 DOI: 10.1186/s40634-015-0027-z

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.

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