ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021
Trends of anterior cruciate ligament reconstruction in children and young adolescents in Italy show a constant increase in the last 15 years.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 24 citations in OpenAlex.
- Influence of Neuromuscular Training Interventions on Jump-Landing Biomechanics and Implications for ACL Injuries in Youth Females: A Systematic Review and Meta-analysis.Sports medicine (Auckland, N.Z.) · 2025Pooled it
- Changes in Lower Limb Biomechanics Across Various Stages of Maturation and Implications for ACL Injury Risk in Female Athletes: a Systematic Review.Sports medicine (Auckland, N.Z.) · 2024Pooled it
- Patellar tendon versus artificial grafts in anterior cruciate ligament reconstruction: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2021Pooled it
- Age and Time to Surgery Are Associated with Concomitant Meniscal Injuries in Adolescent ACL Tears: A Retrospective Cohort Study.Healthcare (Basel, Switzerland) · 2026Article
- Decline in Pediatric Anterior Cruciate Ligament Reconstructions Seen Over 20 Years in the American Board of Orthopaedic Surgeons Part II Oral Examination Database.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Article
- Trends of Pediatric Anterior Cruciate Ligament Reconstruction Surgery in Korea: Nationwide Population-Based Study.Journal of clinical medicine · 2025Article
- The COL5A1 Gene Allelic Combination and ACL Injury Risk in Team Sport: A Preliminary Report.Revista brasileira de ortopedia · 2024Article
- Genome-Wide Association Screens for Anterior Cruciate Ligament Tears.Journal of clinical medicine · 2024Review
- Epidemiology and distribution of cruciate ligament injuries in children and adolescents, with an analysis of risk factors for concomitant meniscal tear.Frontiers in pediatrics · 2024Article
- Preoperative and Postoperative Kinesiophobia Influences Postoperative Outcome Measures Following Anterior Cruciate Ligament Reconstruction: A Prospective Study.Journal of clinical medicine · 2023Article
- The Role of Lateral Extra-articular Tenodesis in Anterior Cruciate Ligament Reconstruction and Treatment of Rotatory Knee Instability: a Scoping Review.Current reviews in musculoskeletal medicine · 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
- Global research status of anterior cruciate ligament reconstruction: a bibliometric analysis.EFORT open reviews · 2022Review
- High recall bias in retrospective assessment of the pediatric International Knee Documentation Committee Questionnaire (Pedi-IKDC) in children with knee pathologies.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Pediatric Anterior Cruciate Ligament Injuries: We Need to Do Better for Our Most Vulnerable Patients.Journal of athletic training · 2022Article
- Reduction of risk factors for ACL Re-injuries using an innovative biofeedback approach: A phase I randomized clinical trial.Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine · 2022Article
- Modular Bioreactor Design for Directed Tendon/Ligament Tissue Engineering.Bioengineering (Basel, Switzerland) · 2022Article
- Epidemiology of Anterior Cruciate Ligament Reconstruction Surgery in Italy: A 15-Year Nationwide Registry Study.Journal of clinical medicine · 2021Article
Corrections and comments
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Authors and funding
11 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of this 15-year nationwide study was to investigate the trend in ACL reconstructive surgeries in patients younger than 15 years old in Italy, as well as their social and economic impact. MATERIALS AND
methodsThe National Hospital Discharge records (SDO) collected by the Italian Ministry of Health in the 15-year period between 2001 and 2015 were analyzed. This contains anonymous data including patients' age, gender, ICD-9-CM codes for diagnosis and intervention, census region, region of hospitalization, length of the hospitalization, and public or private reimbursement.
results1,350 ACL reconstructions were performed in Italy in the population younger than 15 years old, with an incidence rate ranging from 0.16 to 2.04 procedures per 100,000 age-matched individuals. Similarly, the percentage of surgeries in 0-14 year old patients increased with respect to the total number of ACL reconstruction from 0.13% in 2001 to 0.95% in 2015. The age range 10-14 years is the most involved, accounting for 97.3% of surgeries recorded in the study period. The male:female ratio was 1.05 and most of these procedures were performed in the North of Italy (78.3%).
conclusionACL reconstructions in patients aged 10-14 years are increasing constantly since 2001, and thus, specific actions aimed to define the best management strategy as well as national educational programs to prepare the future surgeons to this new reality are mandatory in the interest of the public health. LEVEL OF EVIDENCE: Level III.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.