Bony Defects in Revision ACL Surgery (ICL 19)
Revision ACL reconstruction has been reported to have poorer outcomes compared to primary ACL reconstruction [1–3]. There are many potential reasons for this, including the status of the menisci and articular surfaces. However, if faced with a failed ACL reconstruction, the surgeon needs to understand why the reconstruction failed and what can be done to reduce the risk of failure of the revision procedure. Whatever the cause of failure of the primary procedure, the success of the revision ACL reconstruction relies on obeying all of the principles that one would apply for a successful outcome after a primary procedure. Amongst these is the prerequisite for optimal tunnel positioning in good-quality host bone. This instructional course lecture addresses the specific issue of how to deal with bony defects in revision ACL surgery.
KeywordsBone Grafting Patellar Tendon Femoral Tunnel Tibial Tunnel Bone Tunnel
- 3.Wright R, Spindler K, Huston L, Amendola A, Andrish J, Brophy R, Carey J, Cox C, Flanigan D, Jones M, Kaeding C, Marx R, Matava M, McCarty E, Parker R, Vidal A, Wolcott M, Wolf B, Dunn W. Revision ACL reconstruction outcomes: MOON cohort. J Knee Surg. 2011;24(4):289–94.CrossRefPubMedPubMedCentralGoogle Scholar
- 5.Trojani C, Sbihi A, Djian P, Potel JF, Hulet C, Jouve F, Bussiere C, Ehkirch FP, Burdin G, Dubrana F, Beaufils P, Franceschi JP, Chassaing V, Colombet P, Neyret P. Causes for failure of ACL reconstruction and influence of meniscectomies after revision. Knee Surg Sports Traumatol Arthrosc. 2011;19(2):196–201.CrossRefPubMedGoogle Scholar