IC 305-2022: Surgical Techniques for ACL Reconstruction in Patients with Open Physes-Surgical Techniques for ACL Reconstruction in Patients with Open Physes (6/8)

Surgical Techniques for ACL Reconstruction in Patients with Open Physes (6/8)

Video Transcription

Video Summary

The video discusses the construction techniques of using a Ficeal Sparing Iliotibial Band Autograph, known as the McKayley-Coker Technique, for ACL (anterior cruciate ligament) reconstruction in prepubescent athletes. The technique has a low failure rate and no clinically relevant growth disturbance. It is quick, technically simple, and does not require radiation or fluoroscopy. The surgery involves harvesting the central portion of the iliotibial band and creating a graft. The graft is then passed through the knee and fixed to the femur and tibia. Rehabilitation involves toe-touch weight-bearing for six weeks and limited range of motion for six weeks. The technique has shown positive results in the published literature and has been found to restore normal knee kinematics. However, there can be some cosmetic abnormalities of the thigh as the IT band is harvested.

Asset Caption

Jonathan Riboh, MD

Keywords

Ficeal Sparing Iliotibial Band Autograph

McKayley-Coker Technique

ACL reconstruction

prepubescent athletes

low failure rate