Sports Injury Forum -Michael DeFranco MD | Guest William Clancy, M.D. Inventor of ACL Reconstruction | Orthopaedic surgeon for 1980 gold medal winning U.S. Hockey Team (Miracle on Ice) http://www.artistfirst.com/sportsinjuryforum.htm
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ACL Reconstruction in Young Athletes Interviewer: The younger athlete who it is not done growing yet, they have an open growth plate, they are still growing and they tear their ACL, should an ACL reconstruction be the wait until they are done growing and their growth rates are closed? Interviewer: Well, it depends on the age. The first thing we know is that the younger kids are far more lax until they get maturity then their knees seems to tighten up. In the incidence of tears of the menisci in young kids are so high in youngsters that we know for sure it is going to lead to much earlier degenerative arthritis even if you stabilize the knee. So, I think most people are very aggressive in doing something to stabilize—you destabilize the knee that you may go over the top instead of going through a bony trough which might close the growth plates but I think it is more important in the 10 to 13-year-old that you stabilize that knee than it is for 18 or 19-year-old. Interviewer: Because of the risk, if you don’t; the risk of injury in the meniscus. Interviewer: Oh, the risk is so high—University of West Ontario has written some great papers on this and I think everybody who does a lot of -- these young kids will tell you that it is a disaster to anyone. And thirdly, we can reconstruct the ACL. We can give you a really good stability but the likelihood of giving you perfect biomechanical stability is probably significantly different than your normal knee.

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