ACL Surgery in Children

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?

The concern of performing ACL surgery in children is that there is a risk of causing a growth disturbance in growing children. Growth plate problems as a result of ACL surgery could potentially lead to early growth plate closure or alignment deformities. However, recent research is showing that the risk of growth plate problems is much less then the risk of permanent knee damage if the ACL is not fixed.

Knees that are unstable as a result of ACL tears have a high chance of meniscus tears and cartilage injury. The risk of these events was found in a recent study to be higher than the risk of growth disturbances. Therefore, more surgeons are recommending early ACL surgery, even in children.

Related: All About ACL Tears | ACL Surgery Rehab

Sources: American Orthopaedic Society for Sports Medicine (AOSSM) Annual Meeting, July 2009.