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

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.