ArticleOrthopaedic journal of sports medicine2026
MRI Evaluation of Graft Remodeling After Transphyseal Anterior Cruciate Ligament Reconstruction in Pediatric Patients: A 5-Year Follow-up.
Article in Orthopaedic journal of sports medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Pediatric ACL Injuries: A Current Concepts Review.Journal of clinical medicine · 2026Review
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Anterior cruciate ligament (ACL) reconstruction (ACLR) is increasingly performed in children and adolescents, yet mid- to long-term graft ligamentization remains poorly understood. Purpose: To characterize the magnetic resonance imaging (MRI) evolution of ACL grafts in pediatric patients between 2 and 5 years postoperatively. Study Design: Case series; Level of evidence, 4. Methods: The authors included 50 pediatric patients undergoing transphyseal ACLR with a semitendinosus tendon autograft folded in 4 without additional lateral extra-articular tenodesis to evaluate the evolution of ACL graft ligamentization over 5 years using quantitative (signal-to-noise quotient, SNQ) and qualitative (Howell grading) MRI criteria. The SNQ was measured in intra-articular and intra-tibial graft regions. Tibial tunnel widening (TTW) and its relation to graft signal were also assessed. MRI scans were performed at 6, 12, 24, and 60 months postoperatively. Results: Sixteen patients completed a 60-month follow-up. The median intra-articular SNQ peaked at 12 months, decreased by 24 months (median, 3), and finally stabilized, with no significant change at 60 months (median, 2.8; Conclusion: ACL graft ligamentization progresses primarily in the late first 2 years, followed by a subsequent plateau up to 5 years postoperatively.
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