AOSSM 2023 Annual Meeting Recordings no CME-A Survival Analysis of ACL Graft and Contralateral ACL Ruptures in Patients under 18 years

A Survival Analysis of ACL Graft and Contralateral ACL Ruptures in Patients under 18 years

Video Transcription

Video Summary

In the video, the speaker discusses the high risk of second ACL injuries in younger athletes. They mention that younger age is a risk factor for sustaining multiple ACL injuries and that younger athletes have a higher risk for graft rupture or contralateral ACL injury compared to older athletes. The speaker references a study that reported low graft survival rates in young athletes over a 20-year period. The purpose of their study was to report rates of graft and contralateral ACL rupture in a large series of younger patients over up to eight years following a first-time ACL reconstruction. They conducted a single-surgeon series of 400 patients under 18 years old undergoing primary ACL reconstruction. The primary outcome was second ACL injuries, either graft rupture or contralateral ACL injury. They followed up with patients through medical records, electronic surveys, and telephone interviews. Their analysis showed that graft rupture rates were higher in male athletes compared to females, but the difference decreased over time. Contralateral ACL injuries had similar rates between male and female athletes, but there was an increase in male patients after five years. The study emphasizes the need to educate young athletes, especially males, about the risk of ACL injuries when participating in high-risk sports.

Asset Caption

Kate Webster, PhD

Keywords

second ACL injuries

younger athletes

risk factors

graft rupture

contralateral ACL injury