Physeal-Sparing Anterior Cruciate Ligament Reconstruction with Iliotibial Band

ArticleinClinics in sports medicine 30(4):767-77 · October 2011with6 Reads
Impact Factor: 1.22 · DOI: 10.1016/j.csm.2011.07.005 · Source: PubMed

    Abstract

    Treatment of anterior cruciate ligament (ACL) injuries in skeletally immature athletes is controversial. Whereas operative treatment places risk to the physis, nonoperative management may lead to functional instability. By performing physeal-sparing intraarticular and extraarticular iliotibial band reconstruction of the ACL, the risk of physeal injury is reduced and stability of the knee is restored. This article reviews the indications for iliotibial band reconstruction of the ACL in the skeletally immature athlete, surgical technique, pitfalls, and results of treatment.