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- Talk
- 09/07/2022
- UK
Growth Disturbance Following ACL Reconstruction in Children: A Systematic Review
Description
This presentation by Dr. Vijay Patil focuses on a systematic review conducted on growth disturbances following pediatric ACL (Anterior Cruciate Ligament) reconstruction in a unit in Basildon. Dr. Patil begins by acknowledging the well-known risks of growth deformities associated with pediatric ACL surgeries, particularly due to their proximity to the growth plate or physis. The presentation discusses the possible complications of non-operative management and the standard surgical method, noting the concerns associated with transphyseal techniques, which prompted the development of newer physeal-sparing methods to reduce the risks of growth disturbances.
Dr. Patil outlines the research question regarding growth disturbances and the risk of graft rupture, explaining the methodology behind their literature search and criteria for study inclusion. They cite a large number of articles but ultimately focus on 78 studies, leading to a comprehensive analysis of 2,700 cases within the pediatric population.
The results indicate that only 2.6% of patients experienced growth disturbances, predominantly among male subjects. The presentation includes detailed information on the types of growth deformities observed, the graft types used, and a discussion on the techniques employed during surgeries, emphasizing that while transphyseal techniques carry risks, they can be safely managed with proper surgical practices.
Dr. Patil concludes by stressing that though growth deformities are multifactorial, preventive measures can be taken during surgery to mitigate risks. The need for ongoing data collection and evaluation is highlighted as essential for further understanding and improvement of surgical outcomes in pediatric ACL reconstruction.