The Pediatric ALL Evaluation and Trial (PALLET): A Randomized, Controlled Trial

Studies have shown the rising incidence of anterior cruciate ligament (ACL) injuries in children and adolescents. Pediatric patients are at a higher risk of graft failure than adults (3-4% compared to 12-19%) after ACL reconstruction. In the adult population, a growing number of studies have suggested that concomitant reconstruction of the anterolateral ligament (ALL) with the ACL may help lower this risk. However, this has never been studied in adolescent populations. The goal of this randomized, controlled study is to evaluate whether concomitant ALL reconstruction in children undergoing ACL reconstruction will result in a lower rate of graft failure than ACL reconstruction alone.