ArticleJournal of experimental orthopaedics2026
All-epiphyseal, all-inside ACL reconstruction yields high return-to-sport and minimal growth-related complications at mid- to long-term follow-up in skeletally immature patients.
Article in Journal of experimental orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Age-specific over-the-top anterior cruciate ligament (ACL) reconstruction and lateral extra-articular tenodesis (LET) in skeletally immature patients: No major complications during early follow-up.Journal of experimental orthopaedics · 2026Article
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10 authors.
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Abstract
Purpose: Paediatric anterior cruciate ligament (ACL) injuries are becoming increasingly frequent. Surgical management remains challenging due to the risk of growth plate disturbance. Physeal-sparing techniques aim to restore stability while minimizing this risk. The purpose of this study is to evaluate the clinical, functional and radiological outcomes of an all-inside, all-epiphyseal ACL reconstruction in skeletally immature patients, with particular attention to complications, return to sport (RTS) and the influence of associated injuries. Methods: Seventy-eight patients (48 males and 30 females; mean age 13.1 years, range: 9-16) underwent physeal-sparing ACL reconstruction between 2015 and 2024. All procedures were performed using hamstring autograft with all-epiphyseal sockets under fluoroscopic guidance. Pre- and postoperative assessments included plain radiographs, magnetic resonance imaging (MRI) and clinical evaluation. Outcome measures were Lysholm, Paediatric International Knee Documentation Committee (Pedi-IKDC) and visual analogue scale (VAS) scores, recorded preoperatively and at a mean follow-up of 48 months (range: 24-82). Return-to-play rates, complications and growth disturbances were documented. Subgroup analyses investigated the effect of meniscal/chondral lesions, gender and surgical delay. Results: Significant postoperative improvements were achieved in all clinical scores: Lysholm (53.4-94.6, Conclusion: All-inside physeal-sparing ACL reconstruction demonstrates excellent mid- to long-term outcomes in skeletally immature patients. The technique offers high RTS rates and minimal growth-related complications. Early surgical intervention may reduce the risk of secondary meniscal and chondral damage. Level of Evidence: Level IV, retrospective case series.
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