Navigation Links
Strides Seen in Orthopedic Surgery for Kids
Date:3/14/2010

Repairing ACL, meniscus at same time is one advance, 'Tommy John' elbow reconstruction another

SUNDAY, March 14 (HealthDay News) -- Repairing a torn knee meniscus at the same time as anterior cruciate ligament (ACL) reconstruction is safe and effective in children, a new study finds.

Meniscus cartilage acts as a cushion/shock absorber in the knee joint. The ACL is one of four major ligaments in the knee.

This study included 99 patients, 18 and younger, who had meniscus repair at the time of an ACL reconstruction. The overall success rate of meniscus repair was 74 percent. The rate was 84 percent for patients with simple tears (one major tear), 59 percent for displaced bucket-handle tears (a tear around the rim of the meniscus, causing the central portion to displace into the joint), and 57 percent for complex tears (a tear in multiple planes).

The freedom-from-failure rate was 90.9 percent after two years and 76.8 percent after eight years.

Knee function on a 100-point scale improved from a median of 48 (range of 38-70) before surgery to 90 (range of 52-100) after surgery. On a sporting activity scale of 0-10 (with 10 being national elite competitive sports), the patients improved from 1.9 before surgery to 6.2 after surgery.

"We have a wealth of information regarding adults who have a meniscus tear repaired at the time of ACL reconstruction, but there was very little data regarding the pediatric population," Dr. Aaron Krych, chief resident in the orthopedic surgery department at the Mayo Clinic, Rochester, Minn., said in a news release. "To our knowledge, this is the largest study reported on the pediatric population. These knee injuries are common in kids that play football, wrestling and soccer."

The study was to be presented Saturday at the American Orthopaedic Society for Sports Medicine's annual meeting in New Orleans.

At the same meeting, another team of researchers said they found that "Tommy John" elbow reconstruction was 95 percent successful in teen baseball pitchers with fully mature bones.

The procedure -- named for the Hall of Fame pitcher who was the first to have the operation in 1974 -- involves using a tendon from elsewhere in the body to replace a damaged elbow ligament called the ulnar collateral ligament (UCL).

The study of 20 high school pitchers who had the surgery found that 17 were very satisfied and two were somewhat satisfied with the outcome. Of those 19 patients, 18 said they returned to competitive baseball -- three in the highest level of competition in the minor leagues, 13 in intercollegiate baseball, and three in high school baseball.

"High school kids have been a gray zone for this surgery," Dr. Michael J. Angel, of Premier Orthopaedics of Westchester and Rockland. "Obviously, surgeons would avoid surgery on young patients whose growth plates had not closed. But this study can give surgeons the confidence to recommend this surgery to teenage, skeletally mature athletes. It also gives the teen and their parents assurance that the surgery should go well."

More information

The Nemours Foundation explains how to prevent sports injuries in children.



-- Robert Preidt



SOURCE: American Orthopaedic Society for Sports Medicine, news release, March 13, 2010


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. Twenty-Five Individuals Honored by Yoplait(R) for Making Extraordinary Strides in the Fight Against Breast Cancer
2. GREAT STRIDES Walks for Cystic Fibrosis Slated for 47 States This Weekend
3. Gentiva Safe Strides(R) Home Balance Therapy Program is Reducing Risk of Dangerous Falls and Relieving Pain for Thousands of Older Americans
4. Stroller Strides(R) Franchises Succeed Despite Economic Climate
5. Stroller Strides(R) Signs Pampers(R) as Premier Sponsor for 2009
6. Womans Day Presents the Sixth Annual Red Dress Awards Honoring Women Making Strides in the Fight Against Heart Disease
7. Cystic Fibrosis Foundation Launches GREAT STRIDES Walks Nationwide at 600 Locations
8. Strides Made in Hemophilia Research
9. KePRO Employees Make "Great Strides" Towards Cure for Cystic Fibrosis
10. Lab Study Makes Strides in Mending Hearts
11. Strides Made in Tonsil Cancer Repair
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/27/2016)... ... May 27, 2016 , ... Aimed at nurses and ... stories, which come courtesy of leaders in the nursing and health care industry. It ... advocates and associations—namely Abilene Christian University. , As the nursing industry is coming ...
(Date:5/26/2016)... ... May 26, 2016 , ... Despite last week’s media reports hinting ... and company to wait until March 2017 for an interest rate increase, according to ... College of Business. , “The Federal Open Market Committee (FOMC) dot charts are of ...
(Date:5/26/2016)... ... May 26, 2016 , ... ... thousands of defective respirators, according to court documents and SEC filings. A ... and Becky Tyler v. American Optical Corporation, Case No. BC588866, Los Angeles County, ...
(Date:5/26/2016)... ... ... Connor Sports, through its Connor Cares initiative, will continue to expand ... Tour that will commemorate the Indiana Fever legend’s hall-of-fame career and final WNBA ... levels of the game, Connor Sports has committed to a significantly increased focus on ...
(Date:5/26/2016)... (PRWEB) , ... May 26, 2016 , ... ... one that has a significant negative impact on long-term patient survival, reports a ... The results, published online this week in the Journal of Thoracic and Cardiovascular ...
Breaking Medicine News(10 mins):
(Date:5/25/2016)... FDA 510(k) clearance covers ... for urological and surgical applications Mauna ... Cellvizio®, the multidisciplinary confocal laser endomicroscopy (CLE) platform, ... US with the 12 th 510(k) clearance ... This new FDA clearance covers Confocal Miniprobes indicated ...
(Date:5/25/2016)... May 25, 2016  Zymo Research Corp. announced ... new reference materials that help researchers obtain the ... to analyses. The rapid growth of the study ... to have standard methods to improve the reproducibility ... inherently exist at every step of the measurement ...
(Date:5/25/2016)... , May 25, 2016  Granger Diagnostics today ... test for wounds and infections. This test ensures ... and select viruses. The test requires only a ... David G. Bostwick , MD, ... to facilitate wound healing: "We are excited to ...
Breaking Medicine Technology: