title: Anterior cruciate ligament reconstruction in adolescents: a survivorship analysis.
abstract: There are few reports on the longevity of anterior cruciate ligament (ACL) reconstruction in adolescents. In the study reported here, we performed a survivorship analysis of our experience with ACL reconstructions in adolescents. We retrospectively reviewed the cases of 276 consecutive patients (girls' bone age, > 13 years; boys' bone age, > 14 years; chronological age, < 18 years) who underwent primary ACL reconstruction. All patients underwent transphyseal ACL reconstruction with Achilles tendon soft-tissue allograft using the same technique. Twenty-nine patients (10.5%) were excluded or lost to follow-up. Mean follow-up of the remaining 247 patients was 6.3 years (range, 2-10 years). Data were collected from charts and telephone interviews. Failure was defined as the report of symptomatic knee instability and/or revision ACL surgery. The Kaplan-Meier method showed that 1-year survivorship of ACL reconstruction was 96.4% and 5-year survivorship was 93.1%.
authors.affiliation: Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
authors.forename: Wudbhav N
authors.initials: WN
authors.lastname: Sankar
authors.forename: Robert B
authors.initials: RB
authors.lastname: Carrigan
authors.forename: John R
authors.initials: JR
authors.lastname: Gregg
authors.forename: Theodore J
authors.initials: TJ
authors.lastname: Ganley
mesh_terms: D000125:Achilles Tendon / Q000637:transplantation; D000293:Adolescent; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000209:etiology; D008297:Male; D026741:Physical Therapy Modalities; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures; D020127:Recovery of Function; D012086:Reoperation; D012189:Retrospective Studies; D013178:Sports Medicine; D014184:Transplantation, Homologous