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Knee Surg Sports Traumatol Arthrosc. 2013 Sep;21(9):2072-80. doi: 10.1007/s00167-013-2470-7. Epub 2013 Apr 12.

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

Author information

1
Department of Orthopedic Surgery, University of Pittsburgh Medical Center, University of Pittsburgh, Kaufman Building Suite 1011, 3471 Fifth Avenue, Pittsburgh, PA 15213, USA.

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.

PMID:
23579225
DOI:
10.1007/s00167-013-2470-7
[Indexed for MEDLINE]
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