Kocher et al. describe a physeal-sparing ACL reconstruction technique for Tanner stage 1–2 prepubescent children and report outcomes in 44 patients (mean age 10.3 years) followed for a mean of 5.3 years. The technique uses an autogenous iliotibial band routed over-the-top on the femur and under the intermeniscal ligament on the tibia, avoiding transphyseal tunnels entirely.
When you see a complete ACL tear in a Tanner 1–2 child who has failed conservative management, this is the technique to know: IT band over-the-top and under the intermeniscal ligament, fixed to periosteum and intermuscular septum — no physeal tunnels.
Reserve transphyseal hamstring reconstruction for Tanner 2–3 adolescents.
Kocher et al. describe a physeal-sparing ACL reconstruction technique for Tanner stage 1–2 prepubescent children and report outcomes in 44 patients (mean age 10.3 years) followed for a mean of 5.3 years. The technique uses an autogenous iliotibial band routed over-the-top on the femur and under the intermeniscal ligament on the tibia, avoiding transphyseal tunnels entirely.
When you see a complete ACL tear in a Tanner 1–2 child who has failed conservative management, this is the technique to know: IT band over-the-top and under the intermeniscal ligament, fixed to periosteum and intermuscular septum — no physeal tunnels.
Reserve transphyseal hamstring reconstruction for Tanner 2–3 adolescents.