Modified MacIntosh-Micheli Anterior Cruciate Ligament Reconstruction

Modified MacIntosh-Micheli ACL reconstruction. The modified MacIntosh-Micheli ACLR involves harvesting an approximately 2cm (~50%) x 15cm long segment of the ITB that is left attached at Gerdy’s tubercle [1]. The graft is then passed “over-the-top” and through the inter-condylar notch before being tunneled beneath the inter meniscal ligament and secured to the periosteum proximal tibia variably with sutures or anchors.

1. Kocher MS, Garg S, Micheli LJ. Physeal sparing reconstruction of the anterior cruciate ligament in skeletally immature prepubescent children and adolescents. Surgical technique. J Bone Joint Surg Am. 2006;88 Suppl 1 Pt 2:283-293.