{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T13:13:45Z","timestamp":1779282825276,"version":"3.51.4"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T00:00:00Z","timestamp":1776384000000},"content-version":"vor","delay-in-days":75,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T00:00:00Z","timestamp":1776384000000},"content-version":"vor","delay-in-days":75,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy, Sports Medicine, and Rehabil."],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To assess clinical and radiological outcomes of pediatric anterior cruciate ligament (ACL) reconstruction using the over\u2010the\u2010top technique (OTT)\u2009combined with the\u2009lateral extra\u2010articular tenodesis (LET) technique in skeletally immature patients, providing insights into its safety, efficacy, and effects on the growing knee.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A retrospective study was conducted on skeletally immature soccer players undergoing ACL reconstruction with OTT\u2009+\u2009LET between 2019 and 2023 with a minimum follow\u2010up of 2\u2009years. Functional assessment included Lysholm, Knee Injury and Osteoarthritis Outcome Score, as well as KT\u20101000 testing. Radiological parameters included mechanical axis deviation, mechanical lateral distal femoral angle, mechanical medial proximal tibial angle, anterior superior iliac spine\u2010medial malleolus distance, femoral\/tibial lengths, and limb alignment. Paired\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests\/Wilcoxon tests were used, with\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.05 considered significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Nineteen skeletally immature soccer players (mean age 12.8\u2009\u00b1\u20090.9\u2009years) underwent ACL reconstruction with OTT\u2009+\u2009LET. At a mean follow\u2010up of 43.6\u2009\u00b1\u200915.9\u2009months [28\u201075], patients showed excellent functional outcomes (Lysholm 96.7\u2009\u00b1\u200910.9; Knee Injury and Osteoarthritis Outcome Score 94.6\u2009\u00b1\u20099.4). Clinical stability was restored in 94.4% of cases, with only 1 rerupture (5.6%). Radiological comparisons showed symmetrical alignment and bone lengths. A statistically significant reduction in mechanical medial proximal tibial angle was observed in operated knees compared with contralateral knees (85.0\u00b0 vs 86.5\u00b0,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.003).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>ACL reconstruction using the OTT physeal\u2010sparing technique combined with LET provided excellent clinical outcomes in our small sample of skeletally immature athletes. At a minimum of 2 years of follow\u2010up, functional results were favorable, stability was restored, and radiological findings showed overall limb symmetry. The only significant radiological difference was a reduction of 1.5\u00b0 in the mechanical medial proximal tibial angle.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, retrospective therapeutic case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ars2.70018","type":"journal-article","created":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T16:05:13Z","timestamp":1776441913000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Over\u2010the\u2010Top Anterior Cruciate Ligament Reconstruction With Lateral Extra\u2010articular Tenodesis in Pediatric Athletes Provides Excellent Functional Outcomes and Preserves Growth Plate Symmetry"],"prefix":"10.1002","volume":"8","author":[{"given":"Abel","family":"Gomez\u2010Caceres","sequence":"first","affiliation":[{"name":"HM Hospital  M\u00e1laga Spain"},{"name":"Department of Physical Therapy Faculty of Health Sciences University of Malaga  M\u00e1laga Spain"},{"name":"Mutualidad de Futbolistas, Real Federaci\u00f3n Espa\u00f1ola de F\u00fatbol  M\u00e1laga Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivan","family":"Medina\u2010Porqueres","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy Faculty of Health Sciences University of Malaga  M\u00e1laga Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuel","family":"Benavides Propp","sequence":"additional","affiliation":[{"name":"HM Hospital  M\u00e1laga Spain"},{"name":"Mutualidad de Futbolistas, Real Federaci\u00f3n Espa\u00f1ola de F\u00fatbol  M\u00e1laga Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Almudena","family":"Perez Lara","sequence":"additional","affiliation":[{"name":"HM Hospital  M\u00e1laga Spain"},{"name":"Regional University Hospital  M\u00e1laga Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ignacio","family":"Vieitez\u2010Riestra","sequence":"additional","affiliation":[{"name":"HM Hospital  M\u00e1laga Spain"},{"name":"Mutualidad de Futbolistas, Real Federaci\u00f3n Espa\u00f1ola de F\u00fatbol  M\u00e1laga Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raphael Pierre","family":"Idiart\u2010Charrier","sequence":"additional","affiliation":[{"name":"Vithas Xanit International Hospital  M\u00e1laga Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iskandar","family":"Tamimi\u2010Mari\u00f1o","sequence":"additional","affiliation":[{"name":"HM Hospital  M\u00e1laga Spain"},{"name":"Mutualidad de Futbolistas, Real Federaci\u00f3n Espa\u00f1ola de F\u00fatbol  M\u00e1laga Spain"},{"name":"Regional University Hospital  M\u00e1laga Spain"},{"name":"Department of Orthopaedic Surgery and Traumatology University of M\u00e1laga  M\u00e1laga 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