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One stage revision single-bundle anterior cruciate ligament reconstruction with impacted morselized bone graft following a failed double-bundle reconstruction

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Abstract

Although double-bundle anterior cruciate ligament (ACL) reconstruction has theoretical benefits such as more accurate reproduction of ACL anatomy, it is technically more demanding surgery. This report describes the case of a one stage revision single-bundle ACL reconstruction after primary double-bundle ACL reconstruction. A professional dancer had an ACL previously reconstructed with a double-bundle technique, but the femoral tunnels were malpositioned resulting in residual laxity and rotational instability. The previous femoral tunnel positions were vertical and widened. The previous vertical tunnels were filled with impacted bone graft and a revision single-bundle ACL reconstruction was performed via the new femoral tunnel with a 2 O’clock position between the previous two tunnels. After 10 months of postoperative rehabilitation, the patient returned to professional dancing with sound bony union and without any residual instability.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea

    Ho Jong Ra & Do-Yon Hwang

  2. Department of Orthopedic Surgery, Inje University, Seoul Paik Hospital, Korea

    Jeong Ku Ha

  3. Department of Orthopedic Surgery, Konkuk University Hospital, University of Konkuk, No. 4-12, Hwayang-dong, Seoul, Gwangjin-gu, Korea

    Jin Goo Kim

Authors
  1. Ho Jong Ra
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  2. Jeong Ku Ha
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  3. Jin Goo Kim
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  4. Do-Yon Hwang
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Corresponding author

Correspondence to Jin Goo Kim.

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This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

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Ra, H.J., Ha, J.K., Kim, J.G. et al. One stage revision single-bundle anterior cruciate ligament reconstruction with impacted morselized bone graft following a failed double-bundle reconstruction. IJOO 51, 343–346 (2017). https://doi.org/10.4103/0019-5413.205676

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  • DOI: https://doi.org/10.4103/0019-5413.205676

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