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These deformities also predispose children to an ACL injury in the first instance, and therefore, a firm understanding of the contributions of both preoperative deformity and iatrogenic injury to postoperative limb asymmetry is critical. Preoperative and postoperative imaging (until 2\u00a0years postoperatively or skeletal maturity) should include standing hip\u2010to\u2010ankle alignment radiographs when the patient is able to straighten the knee and fully bear weight, as well as a lateral projection of the knee to quantify tibial slope. This should be the standard of care for children with open physes undergoing ACL reconstruction.<\/jats:p>","DOI":"10.1016\/j.arthro.2018.11.032","type":"journal-article","created":{"date-parts":[[2019,2,28]],"date-time":"2019-02-28T03:08:04Z","timestamp":1551323284000},"page":"950-952","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["<i>Editorial Commentary:<\/i>\n                    Mild Limb Asymmetry and Pediatric Anterior Cruciate Ligament Reconstruction\u2014A Classic \u201cChicken and Egg\u201d Scenario?"],"prefix":"10.1002","volume":"35","author":[{"given":"Peter D.","family":"Fabricant","sequence":"first","affiliation":[{"name":"Weill Cornell Medical College"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,3,1]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513518412"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-014-3396-4"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.00569"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000000466"},{"key":"e_1_2_2_6_2","doi-asserted-by":"crossref","unstructured":"S.E.Wong B.T.Feeley N.K.Pandya.Complications after pediatric ACL reconstruction [published online September 22 2017]J Pediatr Orthophttps:\/\/doi.org\/10.1097\/BPO.0000000000001075","DOI":"10.1097\/BPO.0000000000001075"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/jisakos-2015-000013"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/jisakos-2015-000012"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511420818"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514559912"},{"key":"e_1_2_2_11_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.16.00953"},{"key":"e_1_2_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.10.132"},{"key":"e_1_2_2_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516677723"},{"key":"e_1_2_2_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515579182"},{"key":"e_1_2_2_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-008-0524-9"},{"key":"e_1_2_2_16_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.00989"},{"key":"e_1_2_2_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546504269591"},{"key":"e_1_2_2_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506293899"},{"key":"e_1_2_2_19_2","doi-asserted-by":"publisher","DOI":"10.3928\/0147-7447-20000601-15"},{"key":"e_1_2_2_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2006.05.001"},{"key":"e_1_2_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2008.10.031"},{"issue":"6","key":"e_1_2_2_22_2","article-title":"Is pre\u2010injury leg length discrepancy a risk factor for anterior cruciate ligament injury in the skeletally immature athlete?","volume":"5","author":"Lazaro L.E.","year":"2017","journal-title":"Orthop J Sport Med"},{"key":"e_1_2_2_23_2","unstructured":"US National Library of Medicine.ClinicalTrials.gov Identifier: NCT02772770 Pediatric ACL: Understanding Treatment Options (PLUTO) Available from:https:\/\/clinicaltrials.gov\/ct2\/show\/record\/NCT02772770 Published 2016. 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