Figure 5. The most widely used techniques for reconstruction of the pediatric anterior cruciate ligament (ACL). A: epiphyseal technique with fixation screw distal to the physis (Anderson)⁽²⁾; B: all-epiphyseal technique with cortical suspension systems (Cordasco-Green)⁽⁶⁵⁾; C: partially transphyseal technique with cortical suspension systems in which the tibial physis is only tunnelled with the needle and retrograde drilling is made to the physis, without damaging the latter; D: standard technique preserving the femoral physis and tunnelling the tibial physis, attempting to position the interference screw proximal to the physis.