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Jonathan Cluett, M.D.

ACL Surgery in Kids Requires Special Care

By February 18, 2013

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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?

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.  Research has shown that the risk of growth plate problems is less than the risk of permanent knee damage if the ACL is not fixed.

Recommendations for kids with ACL tears include treatment by surgeons with expertise in taking care of childhood ACL injuries, as well as special surgical and rehab considerations that may be different from ACL treatment in adults.

Related: All About ACL Tears | ACL Surgery Rehab

Sources: Children with ACL Injuries Require Special Treatment, Care to Avoid Future Knee Injuries and Complications

January 6, 2011 at 12:48 pm
(1) Eantha Haagen says:

Help me pleeze. I’ve been suffering with chronic myofascial pain for 10 years now. I am on a regimen of morphine sulfate 30mg 2X daily, celebrex 100mg 2X daily, hydrocodone apap 10/325 2 pills 3x a day and I can take an extra 2 pills up to 20 days a month, the hydro is the one that really gives me ANY actual pain relief. I’m usually, on the scale of 1-10 at a 7, I awaken 3-5 X every night in pain, of course I cannot take a pill every time, so I get up and wander around the house, rearrange my bed pillows under legs and shoulders etc. On the occasions that I DO take my extra 2 hydro pills I feel some relief in 45 minutes or so and CAN get back to sleep. I have been asking my Dr. to up my prescription of hydro to 8 pills a day, giving me pain relief every 6 hours. She is very reluctant to do so. Are my meds in the “high” range of pain treatment? Or is it reasonable for me to get better pain relief? I use 1 dr. and 1 pharmacy. I am 49 now and I’m exhausted fightind with pain that feels like someone has inserted lots of corkscrews into my back, hips and shoulders and they are being USED. My original injury started out as huge muscle knots and tears after work-related injuries. I have been put thru the ringer with worker’s comp, insurance “drs” etc. Only my own physician would help me out with pain meds. Just sitting here typing this missive is killing me. I f you can offer me ANY advice, especially about meds I take and if I should be able to up the dosage to pain relief 4X a day(the hydro, that is) I would be so much obliged.

February 2, 2011 at 3:46 pm
(2) The Unconquered says:

Greetings Eantha,

I think that I used to work with you ( “Alex”) at Shaws Wtvl, if it is you? (How could I forget such a great name!) I think I still have one of your Ayn books somewhere, that you let me borrow? You might remember me, I used to work grocery and wear a p-coat all the time. We used make fun of Brandon a lot together. Oh yeah, and I loved your German “seig heil” boots.
I am sorry to read that you are in so much physical discomfort. I too have had chronic pain, with sever lower back issues. It started with stocking shelves and after a hitch in the Army, it has only compounded. It is by freak incident, that I even came across your name. This winter, with having to do more shoveling than I had planned, I’ve been more laid up than before. The only thing that seems to help for me is going to a massage therapist. Both prescription meds and over the counter Doans type of medicines have failed to work. Unfortunately, your condition seems sensitive to even touch. That is the only recommendation that I have. It is too bad that I live so far from Central Maine now. I would be happy to at least try some techniques that have worked for me on you (with my “magic hands” – LOL). I hope that you feel better in the future. I always liked your free-spirit and tremendous individuality. You deserve better!

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