TY  - JOUR
T1  - Commentary on an Article by Martha M. Murray, MD, et al.: “The Effect of Skeletal Maturity on Functional Healing of the Anterior Cruciate Ligament”
AU  - Hutchinson, Mark R.
Y1  - 2010/09/01
N1  - 10.2106/JBJS.J.00940
JO  - The Journal of Bone & Joint Surgery
SP  - e15 1
EP  - 1
VL  - 92
IS  - 11
N2  - 
Historically, surgeons have all but discarded the use of primary repair in addressing anterior cruciate ligament injuries unless the ligament is avulsed from its origin or insertion. The outcomes have been substantially better with reconstruction than with repair in adults. The juvenile and adolescent population introduces the unique challenges of reconstructing cruciate ligaments across open physes, with the risk of premature physeal closure. Therefore, many clinicians have elected to accept the risk of additional meniscal injury and wait until the patient achieves skeletal maturity before proceeding with reconstruction. If there were a better way to repair a torn anterior cruciate ligament in the juvenile and adolescent population, it could change the current treatment algorithm.

SN  - 0021-9355
M3  - doi: 10.2106/JBJS.J.00940
UR  - http://dx.doi.org/10.2106/JBJS.J.00940
ER  -