Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2026 · 共識（依標題推測）

APKASS 2024 consensus statement on anterior cruciate ligament reconstruction, Part I: Management of paediatric anterior cruciate ligament injury.

膝 · 前十字韌帶損傷

中文閱讀摘要

APKASS專家共識指出，小兒ACL傷患在預防及併發傷處理上達成高度共識，但手術時機、移植物選擇及復健方案仍存在顯著分歧。

AI 依來源摘要整理，未經人工逐篇核對。閱讀結論前，請回溯研究族群、方法與限制。

原始摘要

Background

The greater training load and early specialization in youth sports has led to an alarming increase in knee injuries, particularly anterior cruciate ligament (ACL) injuries among children and adolescents. This study aimed to develop a consensus among surgeons and experts from the Asia-Pacific Knee, Arthroscopy and Sports Medicine Society (APKASS) on key aspects of paediatric ACL injury management to enhance clinical outcomes.

Methods

Twenty-three expert surgeons from 8 countries participated in the consensus meeting, which focused on nine crucial domains: prevention, diagnosis, management, surgical techniques, post-operative care, management of associated injuries, rehabilitation, outcome evaluation, and future directions. A predefined agreement threshold of 75% was used to determine consensus. Responses were analysed alongside current literature to pinpoint areas of agreement and divergence.

Results

The consensus project revealed strong agreement on several key aspects of paediatric ACL injury management, particularly the implementation of injury prevention programmes for high-risk sports (85%) and the importance of assessing concomitant meniscal or chondral injuries for surgical intervention (91.3%). However, significant variability was observed in areas such as diagnostic challenges, treatment timing, and rehabilitation protocols. There was no consensus on optimal surgical techniques for skeletally immature patients or the ideal graft diameter for reconstruction. Individualized treatment approaches were emphasized, with 78.3% of surgeons advocating for case-by-case decision-making, reflecting the need to consider factors like skeletal maturity, activity level, and family preferences. There was also a strong consensus on the need for routine monitoring of growth disturbances post-surgery and a comprehensive multi-criteria approach for return-to-sport assessments, underscoring the complexity of managing paediatric ACL injuries.

Conclusion

This expert consensus, developed from an Asia-Pacific perspective, showed both agreement and variation in managing paediatric ACL injuries. While strong consensus was achieved on diagnostic and immediate post-injury care, differences remained in surgical timing, graft selection, and rehabilitation. These findings highlight the need for region specific and paediatric focused guidelines to optimise long term outcomes and establish standardised evaluation criteria for this unique population.

Level of evidence

V (Expert opinion).

至 Europe PMC 閱讀完整來源 ↗ · 擷取日期 2026-10-19

書目、來源與全文狀態

DOI: 10.1016/j.asmart.2026.05.007
PMID／PMCID: 42291753 / PMC13254715
作者: Wang M, Hoshino Y, Moatshe G, Wang JH, Issaragrisil P, Mogos S, Saengpetch N, Phornphutkul C, Kim JG, Kuroda R, Kulkamthorn N, Koga H, Otsuki S, Akagi R, Lee SH, Eriksson K, Yoon KH, Chernchujit B, Keyurapan E, Raoulis V, Siebold R, Ng JP, Yung PS, Ong MT
首次發表日期: 2026-06-04Europe PMC 提供，部分日期可能依年份或月份推定。
卷／期／頁碼或文章編號: 45 ／期未提供／ 26-32
書目來源與查核日期: Europe PMC · 2026-10-19僅核對書目欄位與來源連結；不代表已評讀研究品質。
全文與授權: 來源列有免費全文（查核 2026-10-19），未逐篇測試 PDF 下載。來源授權標示：cc by。

可回溯引用

Wang M, Hoshino Y, Moatshe G, Wang JH, Issaragrisil P, Mogos S, Saengpetch N, Phornphutkul C, Kim JG, Kuroda R, Kulkamthorn N, Koga H, Otsuki S, Akagi R, Lee SH, Eriksson K, Yoon KH, Chernchujit B, Keyurapan E, Raoulis V, Siebold R, Ng JP, Yung PS, Ong MT. APKASS 2024 consensus statement on anterior cruciate ligament reconstruction, Part I: Management of paediatric anterior cruciate ligament injury. Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology. 2026;45:26-32. PMID: 42291753. PMCID: PMC13254715. doi:10.1016/j.asmart.2026.05.007

原始文獻 ↗來源列出的免費全文 ↗

本站供教育與研究參考。單篇摘要、文體標籤與期刊影響係數不等於證據品質或個別病人的診療建議。