ArticleOrthopaedic journal of sports medicine2019
Pediatric Anterior Cruciate Ligament Reruptures Are Related to Lower Functional Scores at the Time of Return to Activity: A Prospective, Midterm Follow-up Study.
Article in Orthopaedic journal of sports medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Clinical outcomes of different autografts used for all-epiphyseal, partial epiphyseal or transphyseal anterior cruciate ligament reconstruction in skeletally immature patients - a systematic review.BMC musculoskeletal disorders · 2023Pooled it
- Eight weeks of visual perturbation training effects on unanticipated cutting lower-limb biomechanics and errors in male athletes following anterior cruciate ligament reconstruction: a randomized controlled clinical trial (RCT).BMC musculoskeletal disorders · 2026Trial
- Addition of a 2-Limb Lateral Extra-articular Procedure to Anterior Cruciate Ligament Reconstruction Does Not Increase Early Complications in Pediatric Patients at Minimum 1-Year Follow-Up.Arthroscopy, sports medicine, and rehabilitation · 2025Article
- Higher revision and secondary surgery rates after ACL reconstruction in athletes under 16 compared to those over 16: a case-control study.Journal of orthopaedic surgery and research · 2025Article
- Pediatric ACL Reconstruction in Children-An Evaluation of the Transphyseal Technique's Efficacy and Safety.Children (Basel, Switzerland) · 2024Article
- Quadriceps tendon autograft is promising with lower graft rupture rates and better functional Lysholm scores than hamstring tendon autograft in pediatric ACL reconstruction. A systematic review and meta-analysis.Journal of orthopaedics · 2024Review
- The incidence of anterior cruciate ligament injury in youth and male soccer athletes: an evaluation of 17,108 players over two consecutive seasons with an age-based sub-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- A systematic review of transphyseal ACL reconstruction in children and adolescents: comparing the transtibial and independent femoral tunnel drilling techniques.Journal of experimental orthopaedics · 2023Review
- Paediatric Anterior Cruciate Ligament (ACL) Injuries: Current Concepts Review.Indian journal of orthopaedics · 2022Review
- Think outside the box: Incorporating secondary cognitive tasks into return to sport testing after ACL reconstruction.Frontiers in sports and active living · 2022Review
- Lateral tibiofemoral morphometry does not identify risk of re-ruptures after ACL reconstruction in children and adolescents.Journal of experimental orthopaedics · 2021Article
- Adolescents Have Twice the Revision Rate of Young Adults After ACL Reconstruction With Hamstring Tendon Autograft: A Study From the Swedish National Knee Ligament Registry.Orthopaedic journal of sports medicine · 2021Article
- Establishing Age- and Sex-Specific Norms for Pediatric Return-to-Sports Physical Performance Testing.Orthopaedic journal of sports medicine · 2021Article
- Limited evidence for return to sport testing after ACL reconstruction in children and adolescents under 16 years: a scoping review.Journal of experimental orthopaedics · 2020Article
- Article
- Reconsideration of Return-to-Sport Decision-Making After Pediatric ACL Injury: A Scoping Review.Sports healthArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSkeletally immature patients show a higher rate of anterior cruciate ligament (ACL) reruptures. A better understanding of the risk factors for an ACL rerupture in this population is critical. PURPOSE/HYPOTHESIS: The objective of this study was to analyze preoperative, intraoperative, and postoperative characteristics of pediatric patients undergoing ACL reconstruction and determine the relationship of these factors with an ACL rerupture. It was hypothesized that patients with worse activity scores and knee function at the time of return to activity would have a higher rate of ACL reruptures at midterm follow-up. Additionally, it was hypothesized that most ACL reruptures would occur before age 20 years in the study population. STUDY
designCase-control study; Level of evidence, 3.
methodsA total of 65 skeletally immature patients (age <16 years) with ACL ruptures underwent reconstruction with a quadruple hamstring tendon graft between 2002 and 2016. Of these patients, 52 were available for the study. Patient characteristics, surgical details, Tegner and Lysholm scores, and ACL reconstruction outcomes were recorded. Patients were analyzed and compared according to ACL rerupture occurrence.
resultsOf the 52 patients, 18 (34.6%) experienced an ACL rerupture after reconstruction. The majority of reruptures (77.8%) occurred before age 20 years. There were 2 patients who sustained ACL reruptures during the rehabilitation period before they returned to activity. The majority of reruptures occurred after 12 months (83.2%), with 66.6% occurring after 24 months. Upon returning to activity between 6 and 9 months postoperatively, patients who ended up with intact ACL grafts reported 69% higher mean Tegner scores (
conclusionSkeletally immature patients who underwent ACL reconstruction and sustained ACL reruptures had lower Tegner and Lysholm scores upon returning to activity than patients without ACL reruptures. In addition, most ACL reruptures occurred in patients younger than 20 years (77.8%) and after 24 months postoperatively (66.6%).
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