Children’s knee surgery
Our team of knee surgeons in OS Clinic specialise in treating knee problems in children including sports injuries affecting the knee and kneecap (patella) stabilisation.
Prevention of these injuries is by far the best treatment and we lead the way in advocating this protocol for warm up that has been shown to reduce the risk of injury.
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Anterior cruciate ligament (ACL) surgery in children
Traditional ACL surgery meant a recovery time of up to a year. However, new procedures for treating ACL injuries have reduced this to around four months.
If an adult is injured and damages their anterior cruciate ligament, the tear (rupture) usually occurs in the upper or middle part of the ligament. However, in children and young people, the attachment of the ligament to the bone is a weak point and the ligament can be completely separated from the bone, possibly with a fragment of bone still attached.
In some cases, it may be possible to re-attach the bone fragment along with the ligament using keyhole surgery. However, ligament re-attachment can only be carried out in the first few weeks after an injury. In some cases, your consultant may also advise carrying out the All-Inside reconstruction technique and anterolateral ligament (ALL) reconstruction alongside ACL surgery to improve the outcome.
Anterior cruciate ligament (ACL) reconstruction in children using a parent’s hamstring as a donor graft
Anterior cruciate ligament (ACL) reconstruction in children using a parent’s hamstring as a donor graft.
This procedure, pioneered by Dr Leo Pinczewski in Sydney, Australia, has well published and exceptional results.
While hamstrings grow in length, they don’t thicken and can remain very thin, especially in small children. However, using a parent’s hamstring to repair an ACL injury has been shown to reduce the failure rate from 30% to less than 10%.
