Skip to main content
SpringerLink
Log in

How to Handle a Poorly Placed Tibial Tunnel

  • Chapter
  • First Online:
Revision ACL Reconstruction

  • 2213 Accesses

Abstract

Today, revision ACL reconstruction has changed considerably in line with the new paradigm of anatomic reconstructive techniques. The revision can be a straightforward surgery in cases with previously well-placed and anatomic bone tunnels or in cases where the bone tunnels are far from the native footprints. However, the revision can also be a complex surgery with many pitfalls, thus the preoperative planning is imperative and every experienced knee surgeon must be prepared for a secondary plan. This chapter will focus on and outline how to execute a well-planned ACL tibial tunnel revision.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Harner CD et al. Quantitative analysis of human cruciate ligament insertions. Arthroscopy. 1999;15(7): 741–9.

    Article  PubMed  CAS  Google Scholar 

  2. Petersen W, Zantop T. Anatomy of the anterior cruciate ligament with regard to its two bundles. Clin Orthop Relat Res. 2007;454:35–47.

    Article  PubMed  Google Scholar 

  3. Gomoll AH, Bach Jr BR. Managing tunnel malposition and widening in revision anterior cruciate ligament surgery. Oper Tech Sports Med. 2006;14(1):36–44.

    Article  Google Scholar 

  4. Bach BR Jr., Mazzocca A, Fox JA. Revision anterior cruciate ligament surgery. In: Grana WA, editor. Orthopaedic knowledge online. Rosemont, IL: American Academy of Orthopaedic Surgeons; 2002. Available at: http://www.aaos.org/oko. Accessed 14 Nov 2012.

  5. Vaughn ZD et al. Biomechanical evaluation of a 1-stage revision anterior cruciate ligament reconstruction technique using a structural bone void filler for femoral fixation. Arthroscopy. 2009;25(9):1011–8.

    Article  PubMed  Google Scholar 

  6. Van der Bracht H et al. The lateral tibial tunnel in revision anterior cruciate ligament surgery: a biomechanical study of a new technique. Arthroscopy. 2012;28(6): 818–26.

    Article  PubMed  Google Scholar 

  7. Kamath GV et al. Revision anterior cruciate ligament reconstruction. Am J Sports Med. 2011;39(1): 199–217.

    Article  PubMed  Google Scholar 

  8. Denti M et al. Revision anterior cruciate ligament reconstruction: causes of failure, surgical technique, and clinical results. Am J Sports Med. 2008;36(10): 1896–902.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Orthopaedics, Sahlgrenska University Hospital, SU/Mölndall, Mölndal, Gothenburg, SE-431 80, Sweden

    Jón Karlsson MD, PhD & Kristian Samuelsson MD, PhD, MSc

Authors
  1. Jón Karlsson MD, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Kristian Samuelsson MD, PhD, MSc
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Kristian Samuelsson MD, PhD, MSc .

Editor information

Editors and Affiliations

  1. Orthopaedic Surgery, Hospital for Special Surgery Weill Cornell Medical College, New York, New York, USA

    Robert G. Marx

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Science+Business Media New York

About this chapter

Cite this chapter

Karlsson, J., Samuelsson, K. (2014). How to Handle a Poorly Placed Tibial Tunnel. In: Marx, R. (eds) Revision ACL Reconstruction. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-0766-9_10

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-0766-9_10

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-0765-2

  • Online ISBN: 978-1-4614-0766-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation