Anterior Cruciate Ligament Revision Reconstruction

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Mark D. Miller ◽  
Michelle E. Kew ◽  
Courtney A. Quinn
Keyword(s):  
Anterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Revision Reconstruction ◽  
Anterior Cruciate

scholarly journals Two-stage revision anterior cruciate ligament reconstruction

2019 ◽  
Vol 31 (1) ◽  
Author(s):  
Du-Han Kim ◽  
Ki-Cheor Bae ◽  
Dong-Wan Kim ◽  
Byung-Chan Choi
Keyword(s):  
Anterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Tunnel Widening ◽  
Two Stage ◽  
Revision Procedure ◽  
Second Stage ◽  
Revision Reconstruction ◽  
Graft Removal ◽  
Anterior Cruciate ◽  
Knee Pathology

Abstract With the rising number of anterior cruciate ligament (ACL) reconstructions, revision ACL reconstructions are becoming increasingly common. A revision procedure may be performed to improved knee function, correct instability, and facilitate a return to normal activities. When performing a revision reconstruction, the surgeon decides between a single-stage or a two-stage revision. Two-stage revisions are rarely performed, but are particularly useful when addressing substantial tunnel-widening, active infection, and concomitant knee pathology (e.g., malalignment, other ligamentous injuries, meniscal or chondral lesions). Among these potential scenarios requiring a two-stage revision, tunnel-widening is the most common cause; the first stage involves graft removal, tunnel curettage, and bone grafting, followed by revision ACL reconstruction in the second stage. The purpose of this article is to review the preoperative planning, surgical considerations, rehabilitation, and outcomes of two-stage revision ACL reconstructions and summarize the recent literature outlining treatment results.

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