دورية أكاديمية
Assessment of Skeletal Maturity and Postoperative Growth Disturbance After Anterior Cruciate Ligament Reconstruction in Skeletally Immature Patients: A Systematic Review.
| العنوان: | Assessment of Skeletal Maturity and Postoperative Growth Disturbance After Anterior Cruciate Ligament Reconstruction in Skeletally Immature Patients: A Systematic Review. |
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| المؤلفون: | Fury MS; Harvard Combined Orthopaedic Residency Program, Boston, Massachusetts, USA.; Investigation performed at Boston Children's Hospital, Boston, Massachusetts, USA., Paschos NK; Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA.; Investigation performed at Boston Children's Hospital, Boston, Massachusetts, USA., Fabricant PD; Division of Pediatric Orthopaedic Surgery, Hospital for Special Surgery, New York, New York, USA.; Investigation performed at Boston Children's Hospital, Boston, Massachusetts, USA., Anderson CN; Tennessee Orthopaedic Alliance, Nashville, Tennessee, USA.; Investigation performed at Boston Children's Hospital, Boston, Massachusetts, USA., Busch MT; Children's Healthcare of Atlanta, Children's Orthopaedics of Atlanta, Atlanta, Georgia, USA.; Investigation performed at Boston Children's Hospital, Boston, Massachusetts, USA., Chambers HG; Pediatric Orthopedics & Scoliosis Center, Rady Children's Hospital, San Diego, California, USA.; Investigation performed at Boston Children's Hospital, Boston, Massachusetts, USA., Christino MA; Boston Children's Hospital, Division of Sports Medicine, Department of Orthopaedics, Harvard Medical School, Boston, Massachusetts, USA.; Investigation performed at Boston Children's Hospital, Boston, Massachusetts, USA., Cordasco FA; Sports Medicine Institute, Hospital for Special Surgery, New York, New York, USA.; Investigation performed at Boston Children's Hospital, Boston, Massachusetts, USA., Edmonds EW; Pediatric Orthopedics & Scoliosis Center, Rady Children's Hospital, San Diego, California, USA.; Investigation performed at Boston Children's Hospital, Boston, Massachusetts, USA., Ganley TJ; Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA.; Investigation performed at Boston Children's Hospital, Boston, Massachusetts, USA., Green DW; Division of Pediatric Orthopaedic Surgery, Hospital for Special Surgery, New York, New York, USA.; Investigation performed at Boston Children's Hospital, Boston, Massachusetts, USA., Heyworth BE; Boston Children's Hospital, Division of Sports Medicine, Department of Orthopaedics, Harvard Medical School, Boston, Massachusetts, USA.; Investigation performed at Boston Children's Hospital, Boston, Massachusetts, USA., Lawrence JTR; Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA.; Investigation performed at Boston Children's Hospital, Boston, Massachusetts, USA., Matava MJ; Department of Orthopaedic Surgery, Washington University School of Medicine, St Louis, Missouri, USA.; Investigation performed at Boston Children's Hospital, Boston, Massachusetts, USA., Micheli LJ; Boston Children's Hospital, Division of Sports Medicine, Department of Orthopaedics, Harvard Medical School, Boston, Massachusetts, USA.; Investigation performed at Boston Children's Hospital, Boston, Massachusetts, USA., Milewski MD; Boston Children's Hospital, Division of Sports Medicine, Department of Orthopaedics, Harvard Medical School, Boston, Massachusetts, USA.; Investigation performed at Boston Children's Hospital, Boston, Massachusetts, USA., Nepple JJ; Department of Orthopaedic Surgery, Washington University School of Medicine, St Louis, Missouri, USA.; Investigation performed at Boston Children's Hospital, Boston, Massachusetts, USA., Parikh SN; Division of Orthopaedic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.; Investigation performed at Boston Children's Hospital, Boston, Massachusetts, USA., Pennock AT; Pediatric Orthopedics & Scoliosis Center, Rady Children's Hospital, San Diego, California, USA.; Investigation performed at Boston Children's Hospital, Boston, Massachusetts, USA., Perkins CA; Children's Healthcare of Atlanta, Children's Orthopaedics of Atlanta, Atlanta, Georgia, USA.; Investigation performed at Boston Children's Hospital, Boston, Massachusetts, USA., Saluan PM; Cleveland Clinic Orthopaedic and Rheumatologic Institute, Garfield Heights, Ohio, USA.; Investigation performed at Boston Children's Hospital, Boston, Massachusetts, USA., Shea KG; Department of Orthopedic Surgery, Stanford University, Stanford, California, USA.; Investigation performed at Boston Children's Hospital, Boston, Massachusetts, USA., Wall EJ; Division of Orthopaedic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.; Investigation performed at Boston Children's Hospital, Boston, Massachusetts, USA., Willimon SC; Children's Healthcare of Atlanta, Children's Orthopaedics of Atlanta, Atlanta, Georgia, USA.; Investigation performed at Boston Children's Hospital, Boston, Massachusetts, USA., Kocher MS; Boston Children's Hospital, Division of Sports Medicine, Department of Orthopaedics, Harvard Medical School, Boston, Massachusetts, USA.; Investigation performed at Boston Children's Hospital, Boston, Massachusetts, USA. |
| مؤلفون مشاركون: | PLUTO Study Group; Investigation performed at Boston Children's Hospital, Boston, Massachusetts, USA. |
| المصدر: | The American journal of sports medicine [Am J Sports Med] 2022 Apr; Vol. 50 (5), pp. 1430-1441. Date of Electronic Publication: 2021 May 13. |
| نوع المنشور: | Journal Article; Systematic Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Sage Publications Country of Publication: United States NLM ID: 7609541 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1552-3365 (Electronic) Linking ISSN: 03635465 NLM ISO Abbreviation: Am J Sports Med Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2004- : Thousand Oaks, CA : Sage Publications Original Publication: Baltimore, Williams & Wilkins. |
| مواضيع طبية MeSH: | Anterior Cruciate Ligament Injuries*/surgery , Anterior Cruciate Ligament Reconstruction*/adverse effects , Anterior Cruciate Ligament Reconstruction*/methods, Adult ; Child ; Epiphyses/surgery ; Femur/surgery ; Humans ; Leg Length Inequality ; Tibia/surgery |
| مستخلص: | Background: Growth disturbance is an uncommon but potentially serious complication after anterior cruciate ligament (ACL) reconstruction in skeletally immature patients. Purpose: To describe how the pediatric ACL literature has assessed preoperative skeletal maturity and the amount of growth remaining and to comprehensively review the incidence, reporting, and monitoring of postoperative growth disturbance. Study Design: Systematic review; Level of evidence, 4. Methods: This review included studies reporting original research of clinical outcomes of skeletally immature patients after ACL reconstruction. Patient characteristics, surgical techniques, preoperative assessments of skeletal maturity or growth remaining, and postoperative assessments of growth disturbances were extracted. Results: A total of 100 studies met inclusion criteria. All studies reported chronological age, and 28 studies (28%) assessed skeletal age. A total of 44 studies (44%) used Tanner staging, and 12 studies (12%) obtained standing hip-to-ankle radiographs preoperatively. In total, 42 patients (2.1%) demonstrated a leg length discrepancy (LLD) >10 mm postoperatively, including 9 patients (0.5%) with LLD >20 mm; furthermore, 11 patients (0.6%) with LLD underwent growth modulation. Shortening was the most common deformity overall, but overgrowth was reported more frequently in patients who had undergone all-epiphyseal techniques. Most LLDs involved the femur (83%). A total of 26 patients (1.3%) demonstrated a postoperative angular deformity ≥5°, and 9 of these patients underwent growth modulation. The most common deformities were femoral valgus (41%), tibial recurvatum (33%), and tibial varus (22%). Although standing hip-to-ankle radiographs were the most common radiographic assessment of growth disturbance, most studies inadequately reported the clinical and radiographic methods of assessment for growth disturbance. Additionally, only 35% of studies explicitly followed patients to skeletal maturity. Conclusion: This systematic review described significant variability in the reporting and monitoring of growth-related complications after ACL reconstruction in skeletally immature patients. The incidence of LLD and angular deformity appeared to be low, but the quality of research was not comprehensive enough for accurate assessment. Registration: CRD42019136059 (PROSPERO). |
| فهرسة مساهمة: | Keywords: ACL; ACL reconstruction; angular deformity; anterior cruciate ligament; growth disturbance; leg length discrepancy; skeletally immature |
| تواريخ الأحداث: | Date Created: 20210513 Date Completed: 20220418 Latest Revision: 20220602 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1177/03635465211008656 |
| PMID: | 33984243 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1552-3365 |
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| DOI: | 10.1177/03635465211008656 |