{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T18:34:25Z","timestamp":1788978865963,"version":"build-2803163510"},"reference-count":37,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2024,3,5]],"date-time":"2024-03-05T00:00:00Z","timestamp":1709596800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>(1) Purpose: The incidence of anterior cruciate ligament (ACL) ruptures in children and adolescents has considerably increased during the last decades due to higher levels of competitive athletic activity, and early sport specialization and professionalization. Contemporary ACL reconstruction techniques have recently been subject to renewed interest in this population. The objective of this study is to report the short- and mid-term results of our physis-sparing ACL reconstruction technique using an \u201cover the top\u201d technique associated with a modified Lemaire procedure. (2) Methods: A retrospective series of 12 junior soccer players who presented to our clinic with a torn ACL between January 2019 and September 2021 was reviewed. The inclusion criteria were patients under 15 years with open tibial and femoral physes, with a stable contralateral knee, a minimum follow-up of 6 months, and a time frame from injury to surgery of &lt;3 months. Patients with previous knee surgery, structural concomitant injuries, muscular, neurological, or vascular abnormalities, or hypersensitivity to metal alloys were excluded. The functional evaluation was performed using the International Knee Documentation Committee (IKDC) rating, Lysholm score, and Tegner activity level. Moreover, clinical and radiological assessments were also performed, including KT-1000 and knee X-rays. (3) Results: We identified 1 female and 11 male patients with ACL tears, with a mean age of 13.17 \u00b1 0.9 months. Concomitant injuries include isolated vertical and bucket-handle tears of the medial meniscus, lateral meniscus tears, bilateral tear of both menisci. The mean follow-up time was 26 \u00b1 12.6 months. The average IKDC, Lysholm and Tegner scores were 93.29 \u00b1 11.04, 95.08 \u00b1 13.2 and 9 \u00b1 0.0 points, respectively. The average KT-1000 score of the participants was 0.96 \u00b1 1.6 points. None of the included patients reported post-surgical complications or required additional surgeries. (4) Conclusions: Our novel ACL reconstruction with LET technique is a safe procedure that resulted in good clinical outcomes, lower failure rate and return to sports in skeletally immature patients.<\/jats:p>","DOI":"10.3390\/jcm13051501","type":"journal-article","created":{"date-parts":[[2024,3,5]],"date-time":"2024-03-05T08:35:54Z","timestamp":1709627754000},"page":"1501","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Outcomes of \u201cOver the Top\u201d Anterior Cruciate Ligament Reconstruction Associated with a Lateral Extra-Articular Tenodesis in Children"],"prefix":"10.3390","volume":"13","author":[{"given":"Abel","family":"Gomez-Caceres","sequence":"first","affiliation":[{"name":"HM Hospital, 29010 Malaga, Spain"},{"name":"Department of Physical Therapy, Faculty of Health Sciences, University of Malaga, 29071 Malaga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4196-5151","authenticated-orcid":false,"given":"Iskandar","family":"Tamimi-Mari\u00f1o","sequence":"additional","affiliation":[{"name":"Regional University Hospital, 29010 Malaga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco Javier","family":"Martinez-Malo","sequence":"additional","affiliation":[{"name":"Regional University Hospital, 29010 Malaga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8246-1868","authenticated-orcid":false,"given":"Raphael Pierre","family":"Idiart-Charrier","sequence":"additional","affiliation":[{"name":"Vithas Xanit International Hospital, 29630 Malaga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ignacio","family":"Vieitez-Riestra","sequence":"additional","affiliation":[{"name":"Regional University Hospital, 29010 Malaga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7873-5064","authenticated-orcid":false,"given":"Ivan","family":"Medina-Porqueres","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Faculty of Health Sciences, University of Malaga, 29071 Malaga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,3,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e1437","DOI":"10.1542\/peds.2014-0623","article-title":"Council on Sports Medicine and Fitness, and Section on Orthopaedics Anterior Cruciate Ligament Injuries: Diagnosis, Treatment, and Prevention","volume":"133","author":"LaBella","year":"2014","journal-title":"Pediatrics"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"75","DOI":"10.5435\/JAAOS-D-17-00670","article-title":"Meniscal and Chondral Pathology Associated With Anterior Cruciate Ligament Injuries","volume":"27","author":"Pike","year":"2019","journal-title":"J. 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