Modification of the Hybrid Anatomic Technique for Anterior Cruciate Ligament Reconstruction in Pediatric Patients

Juan Ignacio Erquicia; Maximiliano Ibañez; Ricardo Espinoza-Von Bischhoffshausen; Gabriel Acuña; Xavier Pelfort Lopez; Juan Carlos Monllau

doi:10.1016/j.eats.2020.09.007

Modification of the Hybrid Anatomic Technique for Anterior Cruciate Ligament Reconstruction in Pediatric Patients

Arthrosc Tech. 2020 Dec 19;10(1):e37-e42. doi: 10.1016/j.eats.2020.09.007. eCollection 2021 Jan.

Authors

Juan Ignacio Erquicia^{1

2}, Maximiliano Ibañez¹, Ricardo Espinoza-Von Bischhoffshausen¹, Gabriel Acuña¹, Xavier Pelfort Lopez³, Juan Carlos Monllau^{1

2

3

4}

Affiliations

¹ Institut Català de Traumatologia i Medicina de l'Esport, Quiron Dexeus University Hospital, Universitat Autònoma de Barcelona, Barcelona, Spain.
² Department of Orthopaedic Surgery, Consorci Sanitari de l'Anoia, Igualada, Spain.
³ Department of Orthopaedic Surgery, Hospital Parc Taulí, Universitat Autònoma de Barcelona, Sabadell, Spain.
⁴ Department of Orthopaedic Surgery, Hospital del Mar, Universitat Autònoma de Barcelona, Barcelona, Spain.

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.