Advances in the management of anterior cruciate ligament injury in children and adolescents
Anterior cruciate ligament(ACL)injury is a common knee injury in children and adolescents.Due to the open epiphyseal plate,the treatment of ACL injuries in this age group has long been a challenge for the medical community.Clinically,there is widespread controversy regarding whether surgery is necessary for such ACL injuries.With the development of evidence-based medicine,clinical treatment strategies have shifted from conservative treatment in the past to a current preference for reconstructive surgery.In addition,in recent years,ACL primary repair techniques have regained attention and become another viable option besides reconstructive surgery.This article aims to provide a comprehensive review of the evolution of treatment perspectives for ACL injuries in children and adolescents,the concept and methods of reconstruction,and the current status of ACL primary repair techniques,with the hope of providing scientific evidence and practical guidance for this challenging clinical problem.
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