| Guidelines users： |
To prepare the diagnosis and treatment guidelines for ACL injury in children and adolescents in China. It provides guidance for emergency department dorctors, pediatric orthopedic or sports injury physician, nursing staff, physical training teachers, rehabilitation doctors and other medical professionals, and provides corresponding reference for insurance companies, government departments and health policy makers. It also provide preparation for the international standard diagnosis and treatment guide for ACL injury in children and adolescents. |
| Purpose of the guideline: |
The 2022 Winter Olympic Games is approaching, ice and snow sports are booming, and the security work needs high standards and strict requirements. At the same time, with the continuous improvement of China's living standards, the demand for sports is also rapidly released, which puts forward new requirements for sports injury prevention and diagnosis and treatment security. According to a 5-year study, ACL fracture accounts for 31% of the knee joint injuries in adolescent adolescents with patent epiphysis, and the incidence rate of ACL damage is increasing year by year. In Australia, the number of ACL injury surgeries has increased by 70% in recent 15 years, most of which are under 14 years old. However, the major of sports injury for children and adolescents in China has just started. Compared with the situation that adults started early and developed fully, children's sports injury is still in its infancy. Children are not a simple epitome of adults, and there are many controversial issues in diagnosis and treatment.
In the adolescent patients with ACL rupture, because of the high incidence of serious complications of delayed surgery, the therapeutic effect of reconstruction is recognized, and it is advocated to complete the surgery as soon as possible in the world. However, because of the risk of epiphyseal injury of reconstruction surgery in China, there is still a lot of controversy about whether to actively operate at present There is no consistent conclusion on the details of operation, postoperative rehabilitation program, evaluation of safety and effect of operation. Up to now, no guidelines on the diagnosis and treatment of ACL injuries in children and adolescents have been published, no matter at home or abroad. Emergency physicians, pediatric orthopedics or sports injury physicians, nurses, physical trainers, rehabilitation physicians and other medical professionals are lack of relevant diagnosis and treatment guidelines Government departments and health policy makers also lack of corresponding reference. Therefore, it is urgent to conduct a systematic review of ACL injuries in children and adolescents and establish standardized guidelines for diagnosis and treatment. |
