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Related Experiment Video

Updated: Sep 18, 2025

Author Spotlight: Implementing the Enhanced Recovery After Surgery Concept in Rehabilitation Following Anterior Cruciate Ligament Reconstruction
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Re-Revision ACLR: Operative Considerations.

Hansel Ihn1, Elaine Shing1, Travis Maak1

  • 1Department of Orthopaedic Surgery, University of Utah, Salt Lake City, Utah, USA.

Video Journal of Sports Medicine
|June 25, 2025
PubMed
Summary
This summary is machine-generated.

Re-revision anterior cruciate ligament reconstruction (ACLR) presents challenges. This case utilized contralateral bone-patellar tendon-bone ACLR with grafting and tenodesis, showing early stability but cautious optimism for long-term outcomes.

Keywords:
bone defectlateral extraarticular tenodesisosteotomyposterior tibial sloperevision ACLR

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Reconstructive Surgery

Background:

  • Re-revision anterior cruciate ligament reconstruction (ACLR) is a complex clinical scenario.
  • A multifactorial approach is essential for addressing individual patient needs in revision ACLR cases.

Purpose of the Study:

  • To describe a surgical technique for re-revision ACLR in a patient with persistent instability.
  • To evaluate early clinical outcomes following the described surgical intervention.

Main Methods:

  • The surgical technique involved contralateral bone-patellar tendon-bone ACLR.
  • Tibial bone grafting for bone defects and postfixation of the tibial bone plug were performed.
  • A concomitant lateral extra-articular tenodesis was also executed.

Main Results:

  • The patient achieved full range of motion at 12 weeks post-surgery.
  • Sagittal stability was demonstrated on examination at the 12-week follow-up.
  • Published data indicate a low return to preinjury activity levels, leading to cautious optimism.

Conclusions:

  • Individualized patient assessment, including history and physical examination, is crucial in revision ACLR.
  • Contingency planning is vital due to unforeseen challenges in revision settings.
  • Techniques minimizing potential complications like tunnel convergence are critical for surgical success.