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Pediatric ACL: Understanding Treatment Options
Recruiting
Trial ID: NCT02772770
Purpose
Pediatric ACL: Understanding Treatment Outcomes (PLUTO) is a multi-center, prospective cohort
study. Specific aims of PLUTO are to evaluate the safety and comparative effectiveness of
non-operative treatment, as well as four operative treatments including (1) transphyseal ACL
reconstruction (2) partial transphyseal ACL reconstruction, (3) physeal-sparing epiphyseal
ACL reconstruction using the Anderson technique, and (4) physeal-sparing ACL reconstruction
using the Micheli/Kocher technique in prepubescent and pubescent skeletally immature
patients.
Official Title
Pediatric ACL: Understanding Treatment Options (PLUTO)
Stanford Investigator(s)
Kevin Shea
Chambers-Okamura Endowed Professor of Pediatric Orthopaedics
Eligibility
Inclusion Criteria:
- Diagnosis of complete intrasubstance ACL tear
- Skeletally Immature (by knee radiographs)
Exclusion Criteria:
- Prior ACL surgery on the ipsilateral knee
- Congenital ACL deficiency
- Multiple ligament reconstruction required
- Other significant comorbidities including syndromic conditions, neuromuscular
disorders or developmental delay
- If scheduling of the ACL surgery is impacted by the skeletal maturity of the patient
- Simultaneous bilateral ACL tears
Intervention(s):
other: Non-operative treatment group will undergo standardized treatment which will include rehabilitation, bracing and certain activity restrictions
procedure: Surgical technique: Transphyseal reconstruction
procedure: Surgical technique: Partial transphyseal reconstruction
procedure: Surgical technique: Physeal sparing reconstruction by the Anderson method
procedure: Surgical technique: Physeal sparing reconstruction by the Micheli/Kocher method
Recruiting
Contact Information
Stanford University
School of Medicine
300 Pasteur Drive
Stanford,
CA
94305
Steven Frick, MD