ReviewCureus2023
Growth Disturbances Following Paediatric Anterior Cruciate Ligament Reconstruction: A Systematic Review.
Review in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 12 citations in OpenAlex.
- Variation Exists Among Asia Pacific and American Surgeons in the Treatment of Pediatric Tibial Eminence Fractures.Arthroscopy, sports medicine, and rehabilitation · 2026Article
- Tibial Spine Avulsion Injuries in Children and Adolescents: A Narrative Review of Anatomy, Management Strategies, and Return-to-Sport Considerations.Healthcare (Basel, Switzerland) · 2026Review
- Femoral extra-physeal ACL reconstruction in skeletally immature patients shows a low rate of clinically relevant growth disturbances: A systematic review.Journal of experimental orthopaedics · 2026Review
- Common pediatric football (American) related extremity injuries: a pictorial essay.Emergency radiology · 2026Article
- Physeal sparing technique reduces femoral growth disturbance in pediatric anterior cruciate ligament reconstruction patients.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Growth Disturbance in Physeal Sparing ACL Reconstruction: A Comparison of 3 ACLR Techniques in Skeletally Immature Patients.Orthopaedic journal of sports medicine · 2026Article
- Over-the-Top Anterior Cruciate Ligament Reconstruction With Lateral Extra-articular Tenodesis in Pediatric Athletes Provides Excellent Functional Outcomes and Preserves Growth Plate Symmetry.Arthroscopy, sports medicine, and rehabilitation · 2026Article
- From simulation to sideline: translating finite element modeling into clinical decision-making for pediatric ACL injury and rehabilitation.Frontiers in sports and active living · 2026Review
- Transphyseal ACL reconstruction resulted in small incidence of tibial physeal bars at 1-year follow-up.Journal of orthopaedics · 2025Article
- Trends of Pediatric Anterior Cruciate Ligament Reconstruction Surgery in Korea: Nationwide Population-Based Study.Journal of clinical medicine · 2025Article
- High Revision Rate After Transphyseal ACL Reconstruction in Skeletally Immature Patients.Journal of personalized medicine · 2024Article
- Impact of Lateral Extra-Articular Procedure Augmentation on Rerupture Risk and Tegner Activity Scale Outcomes in Adolescent Anterior Cruciate Ligament: A Matched Comparative Study With a Minimum 2-Year Follow-up.The American journal of sports medicine · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Growth disturbances after transphyseal paediatric anterior cruciate ligament (ACL) reconstruction have led to the development of physeal-sparing techniques. The aim of this study is to investigate growth disturbances following paediatric ACL reconstruction and identify associated risk factors. A systematic search on PubMed, Scopus and Web of Science databases was conducted using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to identify case series reporting paediatric ACL reconstructions. Of 518 articles, 78 met the inclusion criteria, and data related to growth disturbances and graft failures were extracted. A total of 2,693 paediatric ACL reconstructions resulted in 70 growth disturbances (2.6%): 17 were varus, 26 were valgus, 13 were shortening, 14 were lengthening and five patients had reduced tibial slope. Some patients showed deformities in more than one plane. Coronal plane deformities were seen more frequently with eccentric physeal arrest and lengthening with intraepiphyseal tunnelling. Shortening and reduced tibial slope were related to large central physeal arrest and anterior tibial physeal arrest, respectively. Sixty-two studies documented 166 graft failures in 2,120 reconstructions (7.8%). The extraphyseal technique was least likely to result in growth disturbances and graft failure. Paediatric ACL reconstruction is a safe and effective treatment of rupture. Growth disturbances are least likely following extraphyseal tunnelling, and those resulting from transphyseal techniques can be minimised by reducing drill size, drilling steep and avoiding the physeal periphery. The insertion of hardware, synthetic material, or a bone plug through the drilled physis should be avoided. There is a greater need for robust long-term data collection, such as national ligament registries, to standardise practice and evaluate the risk of growth disturbance and re-ruptures in this treatment.
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Registered trials
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.