Benefits of Implementation
Potential benefits of implementing this recommendation include: improving knee stability and functional outcomes in skeletally immature patients with ACL injury.
Possible Harms of Implementation
Potential harms include: physeal injury, graft failure and surgical complications.
Prospective studies on transphyseal versus all-epiphyseal reconstruction, intra-articular versus extra-articular techniques, and long-term outcomes of young patients following ACL reconstruction. Prospective comparative studies of non-operative treatment and ACL reconstruction in skeletally immature patients are necessary.
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- (88) Pressman AE, Letts RM, Jarvis JG. Anterior cruciate ligament tears in children: an analysis of operative versus nonoperative treatment. J Pediatr Orthop 1997;17:505-511.