Pediatric ACL Revision Using Salvaged Iliotibial Band Autograft in a Physeal-Sparing Multiligamentous Knee Reconstruction: A Case Report

JBJS Case Connect. 2021 Jul 30;11(3). doi: 10.2106/JBJS.CC.20.00796.

Abstract

Case: Iliotibial band (ITB) autograft is used for anterior cruciate ligament (ACL) reconstruction in prepubescent patients. No reports have described ITB salvage techniques for failed reconstruction. We describe a 13-year-old boy who sustained a multiligamentous knee injury, experienced a failed primary reconstruction, and required a revision ITB ACL, lateral collateral ligament, and posterior lateral corner reconstruction with reuse of his ITB autograft. At the 2-year follow-up, he returned to playing competitive sports.

Conclusion: This case shows that salvage of an ITB ACL autograft can be an option in early reconstruction failure.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Anterior Cruciate Ligament Injuries* / surgery
  • Anterior Cruciate Ligament Reconstruction* / methods
  • Autografts
  • Child
  • Humans
  • Knee Injuries* / surgery
  • Male
  • Transplantation, Autologous / methods