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Strategies for revision surgery after primary double-bundle anterior cruciate ligament (ACL) reconstruction
Marcus Hofbauer1, Bart Muller, Christopher D Murawski
1Department of Orthopedic Surgery, University of Pittsburgh Medical Center, University of Pittsburgh, Kaufman Building Suite 1011, 3471 Fifth Avenue, Pittsburgh, PA 15213, USA.
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.