Anterior Cruciate Ligament (ACL) reconstruction surgery is a common treatment method for young, active adults. However, the decision for surgical treatment in children with ACL injuries requires a careful and comprehensive evaluation. In the past, surgery was generally considered a last resort in children due to the potential risk of damage to growth plates (such as leg length discrepancies or angular deformities). However, it has been observed that untreated ACL injuries in children can lead to severe articular cartilage damage and meniscal tears. This situation increases the importance of surgical treatment. When performing ACL reconstruction in children, it is crucial for an experienced orthopedics and traumatology specialist to perform the surgery while preserving the growth plates.