{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T18:34:27Z","timestamp":1788978867474,"version":"build-2803163510"},"reference-count":34,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2012,3,5]],"date-time":"2012-03-05T00:00:00Z","timestamp":1330905600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2012,5]]},"abstract":"<jats:p>Background: Anterior cruciate ligament (ACL) injuries are being seen with increasing frequency in children. Treatment of the ACL-deficient knee in skeletally immature patients is controversial.<\/jats:p>\n                  <jats:p>Purpose: To determine the outcome of all-arthroscopic transphyseal anatomic single-bundle ACL reconstruction in Tanner stage 1 and 2 patients at a minimum of 2 years after surgery.<\/jats:p>\n                  <jats:p>Study Design: Case series; Level of evidence, 4.<\/jats:p>\n                  <jats:p>Methods: Between 2007 and 2008, 16 prepubescent patients underwent ACL reconstruction using soft tissue grafts. All patients were Tanner stage 1 and 2. Outcomes were assessed at a minimum of 2 years after surgery and included limb alignment, limb length, instrumented testing with the KT-1000 arthrometer, and International Knee Documentation Committee (IKDC) score.<\/jats:p>\n                  <jats:p>Results: Mean age at the time of surgery was 12 years (range, 8-14 years). Graft choices included the following: living donor\u2013related hamstring tendon allograft (n = 14), hamstring tendon autograft (n = 1), and fresh-frozen allograft (n = 1). Mean IKDC subjective score was 96 (range, 84-100). All patients had a stable knee postoperatively. Eleven patients had a negative Lachman test result, and 14 had a negative pivot-shift test result. The remainder had grade 1 Lachman and pivot-shift test findings, respectively. At 2 years after surgery, all patients had returned to strenuous activities, and normal or nearly normal overall IKDC score was documented in 94% of patients. There were no cases of limb malalignment or growth arrest.<\/jats:p>\n                  <jats:p>Conclusion: We present a case series of transphyseal anatomic single-bundle ACL reconstruction in Tanner stage 1 and 2 patients at a minimum of 2 years after surgery. Excellent clinical outcomes were obtained with high levels of return to desired activities. Importantly, no growth disturbances were seen in this series of patients.<\/jats:p>","DOI":"10.1177\/0363546512438508","type":"journal-article","created":{"date-parts":[[2012,3,6]],"date-time":"2012-03-06T01:02:38Z","timestamp":1330995758000},"page":"1093-1098","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":110,"title":["Outcome of Anatomic Transphyseal Anterior Cruciate Ligament Reconstruction in Tanner Stage 1 and 2 Patients With Open Physes"],"prefix":"10.1177","volume":"40","author":[{"given":"Catherine","family":"Hui","sequence":"first","affiliation":[{"name":"Mater Clinic, North Sydney Orthopaedic and Sports Medicine Centre, Wollstonecraft, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Roe","sequence":"additional","affiliation":[{"name":"Mater Clinic, North Sydney Orthopaedic and Sports Medicine Centre, Wollstonecraft, 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