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Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 21, Issue 9, pp 2072–2080 | Cite as

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

  • Marcus Hofbauer
  • Bart Muller
  • Christopher D. Murawski
  • Michael Baraga
  • Carola Franziska van Eck
  • Freddie H. Fu
Knee

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.

Keywords

Revision Anterior cruciate ligament Double-bundle ACL reconstruction Anatomical 

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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Marcus Hofbauer
    • 1
    • 2
  • Bart Muller
    • 1
    • 3
  • Christopher D. Murawski
    • 1
    • 3
  • Michael Baraga
    • 1
  • Carola Franziska van Eck
    • 1
  • Freddie H. Fu
    • 1
  1. 1.Department of Orthopedic Surgery, University of Pittsburgh Medical CenterUniversity of PittsburghPittsburghUSA
  2. 2.Department of Trauma SurgeryMedical University ViennaViennaAustria
  3. 3.Department of Orthopaedic SurgeryAcademic Medical CenterAmsterdamThe Netherlands

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