The ESSKA Paediatric Anterior Cruciate Ligament Monitoring Initiative

Overview

Journal Knee Surg Sports Traumatol Arthrosc

Publisher Wiley

Specialties Emergency Medicine
General Surgery
Orthopedics

Date 2015 Aug 8

PMID 26249112

Citations 22

Authors

Havard Moksnes

Lars Engebretsen

Romain Seil

Affiliations

Soon will be listed here.

Abstract

Purpose: To survey and describe the treatment of paediatric anterior cruciate ligament (ACL) injuries performed by orthopaedic surgeons affiliated with the European Society for Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA).

Methods: A closed e-survey was submitted to all registered members and affiliates of ESSKA in July 2013. All recipients were invited to participate in the survey by answering 34 questions online. The list of potential respondents was extracted from the ESSKA office database.

Results: Invitation was sent to 2236 ESSKA members and affiliates, and received 491 (22%) unique responses. Among the respondents, 445 (91%) were orthopaedic surgeons, with 354 (72%) stating that they were involved in treatment of paediatric ACL injuries. The main findings were that there are substantial differences with regard to preferred treatment algorithms, surgical techniques and long-term follow-up procedures. The summed estimate of skeletally immature children with ACL injury seen by the responders in 2012 was minimum 1923 individuals, and a minimum of 102 clinically relevant post-operative growth disturbances were registered.

Conclusion: The present survey documents that the incidences of paediatric ACL injuries and idiopathic growth disturbances may be higher than previously estimated. Treatment algorithms and surgical techniques are highly diverse, and consensus could not be identified. It is worrying that only half the surgeons reported to follow-up children until skeletal maturity after surgical treatment. The results of this survey highlight the importance of international multicentre studies on paediatric ACL treatment and the development of an outcome registry to enable prospective data collections.

Level Of Evidence: IV.

Citing Articles

The Significance of Selecting an Appropriate Patient-Reported Outcome Measure (PROM): A Cross-Cultural Adaptation of the Specific Paediatric International Documentation Committee Subjective (Pedi-IKDC) Knee Form.

Martinkeniene V, Austys D, Saikus A, Brazaitis A, Bernotavicius G, Makulavicius A Children (Basel). 2023; 10(12).

PMID: 38136132 PMC: 10742502. DOI: 10.3390/children10121930.

Major Increase in Incidence of Pediatric ACL Reconstructions From 2005 to 2021: A Study From the Norwegian Knee Ligament Register.

Kooy C, Jakobsen R, Fenstad A, Persson A, Visnes H, Engebretsen L Am J Sports Med. 2023; 51(11):2891-2899.

PMID: 37497771 PMC: 10478322. DOI: 10.1177/03635465231185742.

Surgical techniques in the management of pediatric anterior cruciate ligament tears: Current concepts.

Tang C, Kwaees T, Accadbled F, Turati M, Green D, Nicolaou N J Child Orthop. 2023; 17(1):12-21.

PMID: 36755552 PMC: 9900020. DOI: 10.1177/18632521221149059.

Cross-cultural Adaptation and Validation of the Japanese Version of the Hospital for Special Surgery Pediatric Functional Activity Brief Scale (HSS Pedi-FABS).

Hozumi T, Akagi R, Fabricant P, Teratani T, Kimura S, Yamaguchi S Orthop J Sports Med. 2022; 10(8):23259671221113284.

PMID: 36051976 PMC: 9425918. DOI: 10.1177/23259671221113284.

High recall bias in retrospective assessment of the pediatric International Knee Documentation Committee Questionnaire (Pedi-IKDC) in children with knee pathologies.

Macchiarola L, Pirone M, Grassi A, Pizza N, Trisolino G, Stilli S Knee Surg Sports Traumatol Arthrosc. 2022; 30(10):3361-3366.

PMID: 35218375 DOI: 10.1007/s00167-022-06922-7.

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