ACL injuries in skeletally immature patients and adolescents: How can we improve the high rate of poor outcomes?

Abstract

Currently, it is estimated that 400,000 anterior cruciate ligament (ACL) surgeries are performed in the USA. About half of those patients are children and adolescents [26, 65]. The most common injury patterns are midsubstance tears or tibial eminence avulsions. Treatment of a tibial eminence avulsion is done with closed reduction and immobilization (Meyers and McKeever types I and II) or refixation with sutures, pins, or screws (type III) and will not be discussed in this chapter.