摘要随着体育运动的广泛开展，儿童前交叉韧带（ACL）损伤人数逐年上升，其损伤类型多为ACL胫骨止点撕脱或ACL体部撕裂，严重影响患儿的健康及运动水平。鉴于患儿独特的解剖结构，骨骺未闭合增加了ACL损伤诊治的复杂性，需要根据骨骼成熟度和ACL损伤类型及程度选择最佳的治疗方法，减少对骨骺的损伤以避免影响患儿的生长发育。以往多采用非手术治疗，待骨骼发育成熟后再行ACL重建手术，但会继发半月板和软骨损伤。近年来，非手术治疗主要适用于ACL损伤程度轻且运动需求低的患儿，而早期手术治疗的比率逐渐增高，且可提高患儿的伤后恢复程度及重返运动的水平，但手术不当仍然会出现生长发育障碍、术后再损伤等并发症。与传统的ACL重建术不同，对于不同生长发育阶段的患儿，个性化的ACL损伤诊治方案至关重要。为深入了解儿童ACL损伤的诊治情况，笔者从损伤的特点、诊断与评估、治疗方式等方面对儿童ACL损伤诊治的研究进展进行综述，以期为该类患儿的个性化诊治提供参考。

abstractsWith the popularity of sports, the number of anterior cruciate ligament (ACL) injuries in children is increasing year by year. Most ACL injuries in children are tibial avulsion fractures or ACL body tears, seriously affecting the health and sports level of the patients. Due to the special anatomical structure of the patients, unclosed epiphysis makes the diagnosis and treatment of ACL injuries more complex. It is necessary to choose the optimal treatment regimen according to the bone maturity and the type and degree of ACL injuries to reduce the damage to the epiphysis and avoid the impact on the growth and development of the patients. It was treated with non-surgical treatment and then ACL reconstruction when the bones were mature in the past, which could cause secondary meniscus and cartilage damage. In recent years, non-surgical treatment has mainly been indicated for children with low-degree ACL injuries and small demand for exercise. With the increased ratio of early surgical treatment, the patients′ levels of recovery and return to sports after injury have been improved. However, improper surgery may still lead to complications such as growth and development disorders and postoperative re-injuries. Different from traditional ACL reconstruction, personalized diagnosis and treatment regimen of ACL injuries are very important for the patients at different stages of growth and development. For a better understanding of the diagnosis and treatment of ACL injuries in children, the authors reviewed the research progress on the diagnosis and treatment of ACL injuries in children from the aspects of the characteristics, diagnosis and evaluation, treatment methods, etc., hoping to provide a reference for the personalized diagnosis and treatment.