Acl reconstruction in teens

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An estimated 35 million American kids play a sport every year. And while athletics are a great way for students to stay in shape, make lifelong friends and learn valuable skills like cooperation and teamwork, orthopedic specialists are noticing an increasing number of ACL injuries among student athletes. According to an NBC reportthe rate of ACL injury among young athletes has risen a staggering percent in the last ten years.

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The anterior cruciate ligament ACL is a commonly injured ligament in the knee. Ligaments are tough bands of tissue that connect the ends of bones together. The ACL is located in the center of the knee joint, where it runs from the backside of the femur thigh bone to connect to the front of the tibia shin bone.

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The anterior cruciate ligament is one of four ligaments that maintains the stability of the knee while participating in sports or exercising please click here to learn more about this hinge joint. While the biomechanics of an ACL injury is the same for people of all ages, historical data suggests that the condition must be treated very differently in children and teens who are still growing. The knee is where the shinbone tibia meets the thighbone femur.

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ACL reconstruction surgery is the standard treatment for young, active people who sustain an ACL tear. But what happens when that person is a child? Should ACL surgery be delayed until the child is older, or should ACL reconstruction be performed before skeletal maturity? Traditionally, when a child had an ACL injury, surgeons were reluctant to operate and reconstruct the ligament right away for fear of damaging the growth plate.

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January 10, KneeTreatment. It appears that the number of young people sustaining ACL tears is on the rise, and in particular we are seeing more ACL injuries in kids who are not done with their growth. As compared to kids who are still growing, teenagers who are done growing can be treated as adults when it comes to surgical decision making.

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A torn anterior cruciate ligament ACL is a serious knee injuryespecially for athletes. Many teens with a torn ACL will need surgery to repair it. Surgeons replace the damaged ligament with new ACL graft tissue — either taken from the patient's own body tissue from the main patellar tendon or the hamstring or donated from someone else called an allograft.

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Among teenage athletes, the rate of ACL tears is rising, with the sharpest increase seen in females aged who, over the last 13 years, have experienced a 59 percent increase in the number of required reconstruction procedures, according to a new study published in the JAMA Pediatrics. These results, they hope, will lead to more widespread adoption of injury prevention programs which have been studied in both Europe and America, and shown to reduce injuries. Senior author Jeffrey Spang, MD, associate professor of orthopaedics at the UNC School of Medicine, said there is a lack of understanding among coaches and league officials who think injury prevention programs require specialized training or equipment in order to be effective.

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The incidence of anterior cruciate ligament ACL injuries in the pediatric population has risen in recent years. These injuries have historically presented a management dilemma in skeletally immature patients with open physes and significant growth remaining at time of injury. While those nearing skeletal maturity may be treated with traditional, transphyseal adult techniques, these same procedures risk iatrogenic damage to the growth plates and resultant growth disturbances in younger patients with open physes. Moreover, conservative management is non-optimal as significant instabilities of the knee remain.

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Reuters Health - A growing number of U. Researchers focused on surgery for a common knee injury known as an anterior cruciate ligament ACL tear, which has long been linked to intense participation in sports like basketball and soccer which require constant pivoting as well as contact sports like football. The study of private insurance data for million U.

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Phys Ed Gretchen Reynolds on the science of fitness. Before my year-old son wracked his knee this summer, I considered myself a well-informed medical consumer and a relaxed, dispassionate sports parent. It turned out that I was neither.

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