Strategies for revision surgery after primary double-bundle anterior cruciate ligament (ACL) reconstruction

Marcus Hofbauer; Bart Muller; Christopher D. Murawski; Michael Baraga; Carola Franziska van Eck; Freddie H. Fu

doi:10.1007/s00167-013-2470-7

Strategies for revision surgery after primary double-bundle anterior cruciate ligament (ACL) reconstruction

Marcus Hofbauer, Bart Muller, Christopher D. Murawski, Michael Baraga, Carola Franziska van Eck, Freddie H. Fu

Research output: Contribution to journal › Article › peer-review

23 Scopus citations

Abstract

Purpose: The purpose of this article was to discuss pre- and intra-operative considerations as well as surgical strategies for different femoral and tibial tunnel scenarios in revision surgery following primary double-bundle anterior cruciate ligament (ACL) reconstruction. Methods: Based on the current literature of ACL revision surgery and surgical experience, an algorithm for revision surgery after primary double-bundle ACL reconstruction was created. Results: A guideline and flowchart were created using a case-based approached for revision surgery after primary double-bundle ACL reconstruction. Conclusion: Revision surgery after primary double-bundle ACL reconstruction can be a challenging procedure that requires flexibility and a repertoire of surgical techniques. The combination of pre-operative planning with 3D-CT reconstruction, in addition to careful intra-operative assessment, and the use of this flowchart can simplify the ACL revision procedure. Level of evidence: V.

Original language	English (US)
Pages (from-to)	2072-2080
Number of pages	9
Journal	Knee Surgery, Sports Traumatology, Arthroscopy
Volume	21
Issue number	9
DOIs	https://doi.org/10.1007/s00167-013-2470-7
State	Published - Sep 1 2013
Externally published	Yes

Keywords

ACL reconstruction
Anatomical
Anterior cruciate ligament
Double-bundle
Revision

ASJC Scopus subject areas

Orthopedics and Sports Medicine
Surgery

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Strategies for revision surgery after primary double-bundle anterior cruciate ligament (ACL) reconstruction. / Hofbauer, Marcus; Muller, Bart; Murawski, Christopher D.; Baraga, Michael; van Eck, Carola Franziska; Fu, Freddie H.

In: Knee Surgery, Sports Traumatology, Arthroscopy, Vol. 21, No. 9, 01.09.2013, p. 2072-2080.

Research output: Contribution to journal › Article › peer-review

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abstract = "Purpose: The purpose of this article was to discuss pre- and intra-operative considerations as well as surgical strategies for different femoral and tibial tunnel scenarios in revision surgery following primary double-bundle anterior cruciate ligament (ACL) reconstruction. Methods: Based on the current literature of ACL revision surgery and surgical experience, an algorithm for revision surgery after primary double-bundle ACL reconstruction was created. Results: A guideline and flowchart were created using a case-based approached for revision surgery after primary double-bundle ACL reconstruction. Conclusion: Revision surgery after primary double-bundle ACL reconstruction can be a challenging procedure that requires flexibility and a repertoire of surgical techniques. The combination of pre-operative planning with 3D-CT reconstruction, in addition to careful intra-operative assessment, and the use of this flowchart can simplify the ACL revision procedure. Level of evidence: V.",

keywords = "ACL reconstruction, Anatomical, Anterior cruciate ligament, Double-bundle, Revision",

author = "Marcus Hofbauer and Bart Muller and Murawski, {Christopher D.} and Michael Baraga and {van Eck}, {Carola Franziska} and Fu, {Freddie H.}",

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AU - Hofbauer, Marcus

AU - Muller, Bart

AU - Murawski, Christopher D.

AU - Baraga, Michael

AU - van Eck, Carola Franziska

AU - Fu, Freddie H.

PY - 2013/9/1

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N2 - Purpose: The purpose of this article was to discuss pre- and intra-operative considerations as well as surgical strategies for different femoral and tibial tunnel scenarios in revision surgery following primary double-bundle anterior cruciate ligament (ACL) reconstruction. Methods: Based on the current literature of ACL revision surgery and surgical experience, an algorithm for revision surgery after primary double-bundle ACL reconstruction was created. Results: A guideline and flowchart were created using a case-based approached for revision surgery after primary double-bundle ACL reconstruction. Conclusion: Revision surgery after primary double-bundle ACL reconstruction can be a challenging procedure that requires flexibility and a repertoire of surgical techniques. The combination of pre-operative planning with 3D-CT reconstruction, in addition to careful intra-operative assessment, and the use of this flowchart can simplify the ACL revision procedure. Level of evidence: V.

AB - Purpose: The purpose of this article was to discuss pre- and intra-operative considerations as well as surgical strategies for different femoral and tibial tunnel scenarios in revision surgery following primary double-bundle anterior cruciate ligament (ACL) reconstruction. Methods: Based on the current literature of ACL revision surgery and surgical experience, an algorithm for revision surgery after primary double-bundle ACL reconstruction was created. Results: A guideline and flowchart were created using a case-based approached for revision surgery after primary double-bundle ACL reconstruction. Conclusion: Revision surgery after primary double-bundle ACL reconstruction can be a challenging procedure that requires flexibility and a repertoire of surgical techniques. The combination of pre-operative planning with 3D-CT reconstruction, in addition to careful intra-operative assessment, and the use of this flowchart can simplify the ACL revision procedure. Level of evidence: V.

KW - ACL reconstruction

KW - Anatomical

KW - Anterior cruciate ligament

KW - Double-bundle

KW - Revision

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Strategies for revision surgery after primary double-bundle anterior cruciate ligament (ACL) reconstruction

Abstract

Keywords

ASJC Scopus subject areas

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