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 journalArticle

21 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 languageEnglish (US)
Pages (from-to)2072-2080
Number of pages9
JournalKnee Surgery, Sports Traumatology, Arthroscopy
Volume21
Issue number9
DOIs
StatePublished - Sep 1 2013
Externally publishedYes

Keywords

  • ACL reconstruction
  • Anatomical
  • Anterior cruciate ligament
  • Double-bundle
  • Revision

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

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