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. 2022 Apr 9;56(6):952–962. doi: 10.1007/s43465-022-00611-w

Table 2.

Treatment options recommended in literature based on bone age

S.No Author/year Age at which this procedure recommended Techniques details Comment
1 Micheli–Kocher/2005 6 years Intra-articular and extra-articular iliotibial band reconstruction (Modified MacIntosh) with functionally control rotation Avoid physeal tunnels; important consideration in younger patients
2 Anderson/2003 8 years All-epiphyseal procedure; quadrupled hamstring graft tensioned across epiphyseal tunnels in the distal femur and proximal tibia. Femoral fixation with cortical button and tibial fixation with screw and post construct Extra-physeal, but requires extra-osseous tensioning of the graft across the tibial physis
3 Ganley–Lawrence/2010 10 years All-epiphyseal docking procedure; Fixation done using interference screws in epiphysis Extra-physeal. Tunnels and fixation within both femur and tibial epiphysis
4 Willson/2018 12 years Partial transphyseal (Hybrid)reconstruction; with an all-epiphyseal femoral tunnel and transphyseal tibial tunnel Keep tibia tunnel in centre. Growth disturbance may occur as tibial physis is violated
5 Kocher/2007 14 years or more Transphyseal reconstruction; tunnel placement and fixation across both femur and tibial physis Like adult’s reconstruction using soft-tissue autografts