Surgical techniques in the management of pediatric anterior cruciate ligament tears: Current concepts.

IF 1.3 4区 医学 Q3 ORTHOPEDICS Journal of Childrens Orthopaedics Pub Date : 2023-02-01 DOI:10.1177/18632521221149059
Chun Tang, Tariq Adam Kwaees, Franck Accadbled, Marco Turati, Daniel W Green, Nicolas Nicolaou
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Abstract

Background: Anterior cruciate ligament injury in the child and adolescent patient remains a controversial topic when considering management, especially regarding surgical choices. Treatment variations are seen not just when comparing different countries but also within nations. This arises partly as contemporary treatment is mostly inferred from the adult population who physiologically and in terms of outcomes differ significantly from children. There is an increasing body of evidence for this cohort of patients who have specific challenges and difficulties when determining the optimum treatment.

Methods: Within this article, we will summarize the current evidence for surgical management of anterior cruciate ligament injury for the pediatric patient.

Results and conclusions: There remain many controversies and gaps inthe treatment of Paediatric Anterior cruciate ligament reconstruction and this high risk cohort continues to cause difficulty in identifying the best mode of surgical management.

Level of evidence: level IV.

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治疗小儿前交叉韧带撕裂的外科技术:目前的概念。
背景:儿童和青少年前交叉韧带损伤患者在考虑治疗时仍然是一个有争议的话题,特别是在手术选择方面。治疗差异不仅在比较不同国家时可见,而且在国家内部也可见。这在一定程度上是因为当代治疗大多是根据成年人进行的,他们在生理上和结果上都与儿童有很大不同。越来越多的证据表明,这组患者在确定最佳治疗方案时面临着特定的挑战和困难。方法:在这篇文章中,我们将总结目前的证据,手术治疗前交叉韧带损伤的儿童患者。结果和结论:在小儿前交叉韧带重建的治疗中仍存在许多争议和差距,这一高风险人群继续导致难以确定最佳手术治疗模式。证据等级:四级。
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来源期刊
Journal of Childrens Orthopaedics
Journal of Childrens Orthopaedics Medicine-Orthopedics and Sports Medicine
CiteScore
2.70
自引率
14.30%
发文量
61
审稿时长
23 weeks
期刊介绍: Aims & Scope The Journal of Children’s Orthopaedics is the official journal of the European Paediatric Orthopaedic Society (EPOS) and is published by The British Editorial Society of Bone & Joint Surgery. It provides a forum for the advancement of the knowledge and education in paediatric orthopaedics and traumatology across geographical borders. It advocates an increased worldwide involvement in preventing and treating musculoskeletal diseases in children and adolescents. The journal publishes high quality, peer-reviewed articles that focus on clinical practice, diagnosis and treatment of disorders unique to paediatric orthopaedics, as well as on basic and applied research. It aims to help physicians stay abreast of the latest and ever-changing developments in the field of paediatric orthopaedics and traumatology. The journal welcomes original contributions submitted exclusively for review to the journal. This continuously published online journal is fully open access and will publish one print issue each year to coincide with the EPOS Annual Congress, featuring the meeting’s abstracts.
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