{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T21:00:13Z","timestamp":1782248413215,"version":"3.54.5"},"reference-count":36,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T00:00:00Z","timestamp":1751414400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T00:00:00Z","timestamp":1751414400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["esskajournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study was to compare the difference in limb length and angular deformity between two cohorts of patients who have underwent anterior cruciate ligament (ACL)\u2010reconstruction using a femoral non\u2010physeal sparing technique (N\u2010PS) and a physeal sparing technique (PS). It was hypothesised that N\u2010PS would result in less discrepancy in limb length and knee angles than PS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This is a comparative cohort study of 113 patients: 33 in N\u2010PS who underwent ACL reconstruction between 2001 and 2010, and 80 in PS who underwent ACL reconstruction between 2013 and 2019. Radiographic evaluation, knee stability measurements and patient\u2010reported outcomes (PROMS) were completed at the two\u2010year minimum follow\u2010up examination. Student's t\u2010test, Wilcoxon signed\u2010rank sum test and chi\u2010squared test were used to analyse the data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At time of surgery, the patients were 11.7 (standard deviation [SD]: 1.4) and 14.0 (SD: 1.3) years old in N\u2010PS AND PS, respectively. N\u2010PS showed a statistically significant difference in femoral length of 3.5\u2009mm (95% confidence interval [CI]: 1.1\u20135.9) compared to the non\u2010operated side, with no effect on femoral length in PS of 1.0\u2009mm (95%CI: 0.0\u20131.9).Only a minor impact on tibial angulation (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.07) was observed between the techniques. Sensitivity analysis showed that patients younger than 12.5 years at time of surgery were five times more likely to have a total length difference of more than 10\u2009mm in N\u2010PS than in PS (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.05). Statistically significant differences (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02) were observed in knee laxity between the N\u2010PS 1.5\u2009mm (95%CI: 1.0\u20131.2) and PS 2.4\u2009mm (95%CI: 1.9\u20132.8).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A femoral physeal sparing technique for paediatric ACL\u2010reconstruction reduced femoral limb length growth disturbance compared with non\u2010physeal sparing technique. Knee laxity was affected and PROMS were unaffected by the type of technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ksa.12763","type":"journal-article","created":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T17:13:08Z","timestamp":1751476388000},"page":"1655-1664","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Physeal sparing technique reduces femoral growth disturbance in pediatric anterior cruciate ligament reconstruction patients"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5354-1781","authenticated-orcid":false,"given":"Torsten Gr\u00f8nbech","family":"Nielsen","sequence":"first","affiliation":[{"name":"Sports Traumatology, Orthopedic Department Aarhus University Hospital 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