Modification of the hybrid anatomic technique for anterior cruciate ligament reconstruction in pediatric patients

Erquicia, Juan Ignacio; Ibañez, Maximiliano; Espinoza-Von Bischhoffshausen, Ricardo; Acuña, Gabriel; Pelfort López, Javier; Monllau García, Juan Carlos

doi:http://dx.doi.org/10.1016/j.eats.2020.09.007

Modification of the hybrid anatomic technique for anterior cruciate ligament reconstruction in pediatric patients

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Erquicia JI, Ibañez M, Espinoza-Von Bischhoffshausen R, Acuña G, Lopez XP, Monllau JC. Modification of the hybrid anatomic technique for anterior cruciate ligament reconstruction in pediatric patients. Arthrosc Tech. 2020 Dec 19; 10 (1): e37-42. DOI: 10.1016/j.eats.2020.09.007

Abstract

The incidence of anterior cruciate ligament (ACL) lesions with Tanner stage ≤4 has been increasing in children. To stabilize the knee, different surgical techniques have been developed for ACL reconstruction in the pediatric population. The use of a hybrid anatomic technique, intra-epiphyseal in the femur and transphysis in the tibia, has been recommended as the technique of choice to reconstruct the ACL in these patients. Despite the favorable results, this technique is not exempt from complications. The aim of this study was to present a simple and reproducible modification of the hybrid anatomic technique for ACL reconstruction in pediatric patients.