Complications of ACLR, including revision ACLR

Abstract

Children who undergo an ACL reconstruction have a unique spectrum of complications as compared to adults. The pediatric bone size, open growth plates, and extremely high activity level contribute to their high rate of complications. Children are subject to most of the same complications that are seen in adults, but they can also suffer the unique complication of a growth disturbance which can result in a shorter leg, a longer leg, or a crooked leg. Graft fixation may also be less secure and less anatomic than standard adult ACL reconstruction techniques. With the use of fluoroscopy and careful surgical technique, these complications can be minimized. Outcomes can be excellent, allowing even the very young athlete with a reconstructed ACL the safe return to cutting and pivoting sports such as football, basketball, and soccer.