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) |
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Pages (from-to) | 2072-2080 |
Number of pages | 9 |
Journal | Knee Surgery, Sports Traumatology, Arthroscopy |
Volume | 21 |
Issue number | 9 |
DOIs | |
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