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Bob's ACL WWWBoard

ACL reconstruction in adolescents: a survivorship analysis

Posted By: tc
Date: Tuesday, 26 January 2010, at 9:46 p.m.

I am pretty convinced that patella autograft tendon is the way to go based on the preponderance of evidence. My daughter who is the one to have the surgery said she is good for any amount of short term pain that for long term gain. My wife who is concerned for our daughter about long term patella tendonitis and pain in general is having second thoughts. So she spoke to a surgeon at Kerlan Jobe who only does allograft in young patients. I didn't speak to him but told my wife to ask him to show us any long term study in a peer review publication that shows allograft is as good as autograft.

Here's what he came back with. Comments please?
I'm suspicious of the 10.5% lost for follow up and their self defined definition of failure.
Thank you
TC

Am J Orthop (Belle Mead NJ). 2008 Jan;37(1):47-9.

Anterior cruciate ligament reconstruction in adolescents: a survivorship analysis.
Sankar WN, Carrigan RB, Gregg JR, Ganley TJ.

Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

There are few reports on the longevity of anterior cruciate ligament (ACL) reconstruction in adolescents. In the study reported here, we performed a survivorship analysis of our experience with ACL reconstructions in adolescents. We retrospectively reviewed the cases of 276 consecutive patients (girls' bone age, > 13 years; boys' bone age, > 14 years; chronological age,

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