Does ACL Surgery Affect Growth Plates? Understanding ACL Tears in Children
When it comes to knee injuries in children, ACL (anterior cruciate ligament) tears are particularly concerning due to the potential impact on growth plates. Dr. William Sterett, a distinguished orthopedic surgeon at Vail-Summit Orthopaedics & Neurosurgery, shares his expertise on this complex issue, offering valuable insights into the treatment and implications of ACL tears in young patients.
Dr. Sterett's extensive experience includes over two decades as the Head Team Physician for the US Women's Alpine Ski Team, where he oversaw the team’s medical needs through six Olympic Games.
What Are Growth Plates?
Growth plates, or epiphyseal plates, are areas of developing cartilage tissue near the ends of long bones in children and adolescents. These plates are crucial for bone growth and development, determining the future length and shape of the mature bone. Injuries to the growth plates can potentially disrupt normal bone growth, leading to long-term complications.
Understanding ACL Tears in Children
An ACL tear in a child is a significant injury that often results from high-impact sports or activities involving sudden stops, jumps, or changes in direction. While ACL tears are more commonly associated with adult athletes, they are increasingly seen in younger populations due to the rising participation in competitive sports.
Dr. Sterett explains, “Children’s bones are still growing, which means their ligaments, tendons, and muscles are also developing. This makes their growth plates more vulnerable to injuries, including ACL tears.”
Does ACL Surgery Affect Growth Plates?
One of the primary concerns with ACL surgery in children is the potential impact on the growth plates. Traditional ACL reconstruction techniques often involve drilling tunnels through the bones, which can inadvertently damage the growth plates, potentially leading to growth disturbances or deformities.
Dr. Sterett emphasizes, “Protecting the growth plates during ACL surgery is paramount. An ACL surgeon must consider the child’s age, the stage of bone growth, and use techniques that minimize the risk to these critical areas.”
Techniques to Protect Growth Plates
Advancements in pediatric orthopedic surgery have led to the development of growth plate-sparing techniques for ACL reconstruction. These methods aim to stabilize the knee while avoiding damage to the growth plates. Some of these techniques include:
Physeal-Sparing ACL Reconstruction: This method avoids drilling through the growth plates by using alternative pathways for graft placement.
All-Epiphyseal ACL Reconstruction: This technique involves placing the graft entirely within the epiphysis, thereby sparing the growth plates.
Extraphyseal Techniques: These approaches stabilize the knee without crossing the growth plates, reducing the risk of growth disturbances.
“Choosing the right surgical technique is crucial,” Dr. Sterett notes. “Each case must be evaluated individually, considering the child’s age, skeletal maturity, and the specifics of the injury.”
Recovery and Rehabilitation
Recovery from ACL surgery in children involves a carefully structured rehabilitation program to restore strength, stability, and range of motion to the knee. Physical therapy is a critical component, helping young patients regain function and return to their activities safely.
Dr. Sterett advises, “Post-surgical rehabilitation is tailored to each child’s needs, focusing on gradual progression and avoiding activities that could compromise the surgical repair or affect the growth plates.”
Preventing ACL Injuries in Children
Preventive measures can help reduce the risk of ACL injuries in young athletes. These include:
Proper Training: Emphasizing proper techniques in jumping, landing, and pivoting.
Strength and Conditioning: Strengthening the muscles around the knee to improve joint stability.
Flexibility Exercises: Maintaining good flexibility to reduce strain on the knee.
Wearing Appropriate Gear: Using the right footwear and protective equipment.
“Education and preventive strategies are key,” Dr. Sterett says. “Coaches, parents, and young athletes should be aware of the risks and take steps to minimize them.”
ACL Tears in Children – Dr. William Sterett
ACL tears in children are a serious concern due to the potential impact on growth plates. With the expertise of specialists like Dr. William Sterett, children can receive the appropriate care and surgical techniques to minimize risks and promote healthy development. Protecting the growth plates while effectively treating ACL injuries ensures that young patients can return to their activities with confidence.
For more information or to schedule a consultation with Dr. Sterett contact our office today. Your child’s health and future mobility are our top priorities.
