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:6/23/2017)... ... , ... Goodcents Deli Fresh Subs today announced the opening of a new ... St. Topeka, Kan. 66604 (near 21st and Gage). It is owned and operated by ... locations in the Topeka and Bonner Springs, Kan. area. , “Goodcents has such ...
(Date:6/23/2017)... ... June 23, 2017 , ... Ensuring meat products have reached ... the importance of correctly using a meat thermometer. The videos feature University of ... on consumer food safety habits. Dr. Bruhn explains the variety of meat thermometers ...
(Date:6/23/2017)... , ... June 23, 2017 , ... 21 Middle East ... (EF) has selected 21 leaders from government, business and civil society in 11 countries ... the U.S. this fall, engaging in a transformative exchange of knowledge and ideas with ...
(Date:6/23/2017)... ... June 23, 2017 , ... PureLife Dental is pleased to announce that California ... members. As part of the amalgam separator endorsement, all CDA members may purchase an ... off the retail value. This partnership between PureLife and CDA is especially timely as ...
(Date:6/23/2017)... ... June 23, 2017 , ... American Farmer, will feature ... which is slated to air fourth quarter 2017. American Farmer airs Tuesdays at 8:30aET ... a Danish pharmacist, founded Chr. Hansen in Denmark in 1874 after a groundbreaking discovery ...
Breaking Medicine News(10 mins):
(Date:6/9/2017)... AirXpanders, Inc. (ASX: AXP) (AirXpanders or Company), ... sale and distribution of the AeroForm® Tissue Expander System, ... commercial roll-out in the United States ... hundred (100) medical institutions and health systems, located throughout ... alternative for women who choose reconstructive surgery following a ...
(Date:6/8/2017)... June 8, 2017   Responding to Heath Ledger,s ... the death of singer Chris Cornell in May, ... International offers a free online psychiatric drug ... and families about psychotropic drug risks. The ... died from an accidental overdose, has called for tighter rules ...
(Date:6/7/2017)... , June 7, 2017  Novavax, Inc., (Nasdaq: ... two Phase 2 trials of its RSV F protein recombinant ... bearing age have been published in the journal ... been shared in prior scientific conferences). The Company previously announced ... 2014. Novavax is developing the RSV F Vaccine with the ...
Breaking Medicine Technology: