2023 Annual Meeting Knee Access Pass-Opinion: Micheli-Kocher Technique for Physeal-Sparing ACL Reconstruction with the IT Band

Opinion: Micheli-Kocher Technique for Physeal-Sparing ACL Reconstruction with the IT Band

Video Transcription

Video Summary

Dr. McKinley discusses pediatric ACL reconstruction, comparing the modified McIntosh IT band technique with the all-epiphyseal method. The IT band technique, though non-anatomic, offers better biomechanics, quicker surgery without drilling tunnels or implants, and lower risk of growth plate injury. It involves harvesting and looping the IT band for ACL and ALL reconstruction. The all-epiphyseal approach is more technically challenging, requires fluoroscopy, and carries a small growth complication risk. Both have similar revision rates, but the IT band method causes lateral thigh fullness while all-epiphyseal risks growth asymmetry. Overall, the IT band technique is favored for its safety and efficiency.

Asset Caption

Yi-Meng Yen, M.D., Ph.D.

Keywords

pediatric ACL reconstruction

modified McIntosh IT band technique

all-epiphyseal method

growth plate injury risk

ACL and ALL reconstruction