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Published in: Knee Surgery, Sports Traumatology, Arthroscopy 9/2013

01-09-2013 | Knee

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

Authors: Marcus Hofbauer, Bart Muller, Christopher D. Murawski, Michael Baraga, Carola Franziska van Eck, Freddie H. Fu

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 9/2013

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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.
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Metadata
Title
Strategies for revision surgery after primary double-bundle anterior cruciate ligament (ACL) reconstruction
Authors
Marcus Hofbauer
Bart Muller
Christopher D. Murawski
Michael Baraga
Carola Franziska van Eck
Freddie H. Fu
Publication date
01-09-2013
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 9/2013
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-013-2470-7

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