BACKGROUND: The current body of literature surrounding anterior cruciate ligament (ACL) survival and the variables contributing to further @entity130 after primary ACL reconstruction in @entity1 and adolescents is limited, with no long-term evidence examining the incidence and contributing factors of further @entity130 in this younger @entity1 population. PURPOSE: To determine the long-term survival of the ACL graft and the contralateral ACL (CACL) after primary reconstruction in @entity1 aged  <=18 years and to identify the factors that increase the odds of subsequent @entity130 . STUDY DESIGN: Case series; Level of evidence, 4. METHODS: @entity1 having undergone primary ACL reconstruction at age  <=18 years between 1993 and 1998 who were included in a prospective database by a single surgeon were considered for this study. Single-incision endoscopic ACL reconstruction was performed with either an autologous bone-patellar tendon-bone graft or a hamstring tendon graft. At a minimum of 15 years after ACL reconstruction, @entity1 completed a subjective survey involving the International Knee Documentation Committee (IKDC) questionnaire in addition to questions regarding current symptoms, further @entity130 , family history of @entity130 , and current level of activity. RESULTS: A total of 288 adolescents (age range, 13-18 years) met the inclusion criteria, of whom 242 (84%) were reviewed at a mean of 16 years and 6 months after ACL reconstruction. Of these @entity1 , 75 (31%) sustained a further @entity130 : 27 (11.2%) suffered an ACL graft rupture, 33 suffered a @entity130 (13.6%), and 15 sustained both an ACL graft rupture and a @entity130 (6.2%) over 15 years. Survival of the ACL graft was 95%, 92%, 88%, 85%, and 83% at 1, 2, 5, 10, and 15 years, respectively, and survival of the CACL was 99%, 98%, 90%, 83%, and 81%, respectively. Survival of the ACL graft was less favorable in those with a family history of @entity130 than in those without a family history (69% vs 90%, respectively; hazard ratio [HR], 3.6; P = .001). Survival of the CACL was less favorable in male @entity1 than in female @entity1 (75% vs 88%, respectively; HR, 2.1; P = .03) and in those who returned to competitive team ball sports than in those who did not (78% vs 89%, respectively; HR, 2.3; P = .05). CONCLUSION: After ACL reconstruction in @entity1 aged  <=18 years, a further @entity130 occurred in 1 in 3 @entity1 over 15 years. The 15-year survival rate of the ACL graft was 83%, and the 15-year survival rate of the CACL was 81%. The ACL graft and CACL were most vulnerable within the first 5 years after index surgery. A family history of ACL rupture significantly increased the risk for ACL graft ruptures, and a @entity130 was more common in male @entity1 and those who returned to team ball sports. High IKDC scores and continued participation in sports were maintained over the long term after ACL reconstruction in the adolescent population.

Fifteen-Year Survival of Endoscopic Anterior Cruciate Ligament Reconstruction in XXXX Aged 18 Years and Younger.

@entity1 :: ('9606', 'Species') :: ['children', 'Patients', 'patients', 'patient'] @entity130 :: ('MESH:D014947', 'Disease') :: ['ACL injury', 'CACL injury', 'ACL injuries']
@entity1 :: (9606,Species) :: ['Patients']
