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Revision ACL Reconstruction pp 139–149Cite as

Revising Failed Double Bundle ACL Reconstruction

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Abstract

The goals of revision anterior cruciate ligament (ACL) reconstruction are identical to the goals of primary reconstruction, i.e., to restore the native ACL dimensions, collagen orientation, and insertion sites, although a careful evaluation is required to identify contributing causes to graft failure that may require additional surgical consideration or management.

The ACL revision surgery after a primary double bundle reconstruction must be individualized according to patient anatomy. Pre-op planning is the key step and determines the most important decisions throughout the surgery. Pre-op CT scan, magnetic resonance imaging measurements, and intra-op measurement dictate the technique, single- or two-staged procedure, graft choice, and the possibility of using the previous tunnels or necessity of new ones.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, UPMC Center for Sports Medicine, University of Pittsburgh, Pittsburgh, PA, USA

    Paulo H. Araujo MD, Karl F. Bowman Jr. MD, Chealon D. Miller MD & Freddie H. Fu MD, DSc(Hon), DPs(Hon)

Authors
  1. Paulo H. Araujo MD
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  2. Karl F. Bowman Jr. MD
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  3. Chealon D. Miller MD
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  4. Freddie H. Fu MD, DSc(Hon), DPs(Hon)
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Corresponding author

Correspondence to Paulo H. Araujo MD .

Editor information

Editors and Affiliations

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

    Robert G. Marx

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© 2014 Springer Science+Business Media New York

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Araujo, P.H., Bowman, K.F., Miller, C.D., Fu, F.H. (2014). Revising Failed Double Bundle ACL Reconstruction. In: Marx, R. (eds) Revision ACL Reconstruction. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-0766-9_14

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  • DOI: https://doi.org/10.1007/978-1-4614-0766-9_14

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-0765-2

  • Online ISBN: 978-1-4614-0766-9

  • eBook Packages: MedicineMedicine (R0)

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