Complications After Pediatric ACL Reconstruction: A Meta-analysis

Journal of Pediatric Orthopedics
Stephanie E WongNirav K Pandya

Abstract

The purpose of this meta-analysis is to review clinical outcomes and complications following pediatric anterior cruciate ligament (ACL) reconstruction. The PubMed and EMBASE databases were searched for studies on ACL ruptures in the skeletally immature from 1985 to 2016. Full-text studies in English and performed on humans were included (n=5718). Titles included discussed operative intervention on skeletally immature patients with ACL tears (n=160). Studies that reported rerupture and/or complications with ACL reconstruction specific to the pediatric population, specifically growth disturbance, were then included in a secondary analysis (n=45). Complications not specific to the pediatric population were excluded. Demographics, graft type, surgical technique, follow-up, growth disturbance, rerupture, and patient-reported outcome scores were collected. Data were analyzed in aggregate. In total, 45 studies were included with 1321 patients and 1392 knees. The average age was 13.0 years, 67% were male, and mean follow-up was 49.6 months. There were 115 (8.7%) reruptures in the initial 160 studies reviewed. In total, 94.6% of patients with rerupture required revision ACL surgery. There were 58 total growth disturbances (16 required c...Continue Reading

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Citations

May 11, 2020·Current Reviews in Musculoskeletal Medicine·Steven Garcia, Nirav K Pandya
Mar 8, 2020·Archives of Orthopaedic and Trauma Surgery·Antoine MorvanNicolas Graveleau
Oct 17, 2020·Orthopaedic Journal of Sports Medicine·Caitlin M RuggNirav K Pandya
Jun 19, 2021·The Journal of Bone and Joint Surgery. American Volume·Itaru KawashimaShiro Imagama
Jun 25, 2021·Orthopaedic Journal of Sports Medicine·Sachin AllahabadiBrian T Feeley

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Methodological Index for Non - Randomized Studies ( MINORS )

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