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Area of Science:

  • Orthopedic Surgery
  • Pediatric Orthopedics
  • Sports Medicine

Background:

  • Previous research indicated a rise in anterior cruciate ligament (ACL) reconstruction surgeries among pediatric populations.
  • This study addresses the need to quantify the trend of ACL reconstructions in children and adolescents.

Purpose of the Study:

  • To evaluate the national trend in anterior cruciate ligament (ACL) reconstruction frequency among pediatric patients.
  • To analyze ACL reconstruction rates relative to total orthopedic surgeries in children and adolescents.

Main Methods:

  • Utilized the Pediatric Health Information System (PHIS) database from 2004-2014.
  • Identified ACL reconstructions using CPT and ICD-9 codes for patients aged 18 years or younger.
  • Calculated the yearly rate of ACL reconstructions per 1000 orthopedic surgeries and applied a linear model for trend analysis.

Main Results:

  • Over 470,000 orthopedic surgeries were analyzed, including 15,231 ACL reconstructions in pediatric patients.
  • The rate of ACL reconstructions increased 5.7-fold, while total orthopedic surgeries rose 1.7-fold between 2004 and 2014.
  • ACL reconstructions showed a 2.8-fold increase relative to total pediatric orthopedic surgeries, with similar trends across sexes and age groups.

Conclusions:

  • Pediatric anterior cruciate ligament (ACL) reconstruction rates markedly increased nearly threefold relative to overall orthopedic surgeries over a 10-year period.
  • The findings highlight a significant shift in surgical procedures within pediatric orthopedics, emphasizing ACL reconstructions.