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J Knee Surg 2021; 34(05): 520-525
DOI: 10.1055/s-0039-1697626
Original Article

Current State of Care for Pediatric ACL Ruptures in the Netherlands: A Survey

Martijn Dietvorst 
1   Department of Orthopaedic Surgery, Máxima Medical Center, Eindhoven, the Netherlands
,
Max Reijman
2   Department of Orthopaedic Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands
,
Rein van Zutven
1   Department of Orthopaedic Surgery, Máxima Medical Center, Eindhoven, the Netherlands
,
Michel P. J. van den Bekerom
3   Department of Orthopaedic Surgery, Onze Lieve Vrouwe Gasthuis, Amsterdam, the Netherlands
,
Duncan E. Meuffels
2   Department of Orthopaedic Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands
,
Matthijs P. Somford
4   Department of Orthopaedic Surgery, Rijnstate Hospital, Arnhem, the Netherlands
,
Rob P. A. Janssen
1   Department of Orthopaedic Surgery, Máxima Medical Center, Eindhoven, the Netherlands
5   Department of Value-Based Health Care, Fontys University of Applied Sciences, Eindhoven, the Netherlands
6   Orthopaedic Biomechanics, Department of Biomedical Engineering, Eindhoven University of Technology, the Netherlands
› Author Affiliations
Funding No financial support was received for this study. This survey is an initiative of the NVA scientific committee.
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Abstract

The management of anterior cruciate ligament (ACL) injuries in the skeletally immature patient is an area of controversy. The purpose of this survey is to inventory the current state of care for pediatric ACL injuries in the Netherlands. This survey was conveyed by e-mail among all members of the Dutch Arthroscopy Society (Nederlandse Vereniging van Arthroscopie [NVA]) and promoted on the Web site of the NVA. It was developed by the scientific committee of the NVA by a consensus meeting discussing relevant topics in pediatric ACL injuries. All members of the NVA received the survey (n = 540). A total of 158 (29%) members responded to the survey, of which 143 were completed. A total of 126 responses were analyzed after exclusion. The main finding of this survey is that 78% of the respondents tend to treat children with open physes nonoperatively, while 65% tend to treat children with closed physes operatively. The most frequently performed procedure is the transphyseal reconstruction. Many considerations were involved in choosing operative treatment. The postoperative follow-up period varies from less than 1 year (24%) until fully grown (27%). In conclusion, this survey shows that the current state of care for pediatric ACL injuries is variable and a matter of debate in the Netherlands. Although the response rate seems low, this survey provides an overview of the opinions of specialized orthopaedic surgeons in the Netherlands. The results of this survey led to the development of the national registry for pediatric ACL in the Netherlands. The level of evidence for this study is V.

Keywords

anterior cruciate ligament - pediatric - physeal sparing - transphyseal - survey

Note

This survey was conducted according to appropriate ethical standards.




Publication History

Received: 27 March 2019

Accepted: 12 August 2019

Article published online:
24 September 2019

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