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 |