May 22, 2014
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Adolescent ACL repair may lead to risk of new injuries

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Adolescents who underwent surgical reconstruction for ACL injury were more likely to experience new instances of pain or swelling than those treated non-surgically, according to a study.

Researchers retrospectively reviewed 71 patients, which included females aged 12 years old or younger and males aged 14 years old or younger who were evaluated for an ACL injury.

Each patient’s electronic health records were reviewed for symptoms related to the injured knee. Instances were considered significant if new pain or swelling was reported.

Forty-seven (66.2%) patients underwent ACL reconstruction at study conclusion, whereas 24 (33.8%) were treated nonoperatively. Patients who underwent ACL reconstruction had an average of 4.6 instances of new pain or swelling. No significant link between time to surgery and meniscal/cartilage injury was observed. However, a positive association was uncovered between patients with five or more such instances and the likelihood of a combined cartilage and meniscal injury (P = .01), according to the study.

 Disclosure: The authors have no relevant financial disclosures.