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

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

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.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, University of Pittsburgh Medical Center, University of Pittsburgh, Kaufman Building Suite 1011, 3471 Fifth Avenue, Pittsburgh, PA, 15213, USA

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

  2. Department of Trauma Surgery, Medical University Vienna, Vienna, Austria

    Marcus Hofbauer

  3. Department of Orthopaedic Surgery, Academic Medical Center, Amsterdam, The Netherlands

    Bart Muller & Christopher D. Murawski

Authors
  1. Marcus Hofbauer
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  2. Bart Muller
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  3. Christopher D. Murawski
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  4. Michael Baraga
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  5. Carola Franziska van Eck
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  6. Freddie H. Fu
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Corresponding author

Correspondence to Freddie H. Fu.

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Hofbauer, M., Muller, B., Murawski, C.D. et al. Strategies for revision surgery after primary double-bundle anterior cruciate ligament (ACL) reconstruction. Knee Surg Sports Traumatol Arthrosc 21, 2072–2080 (2013). https://doi.org/10.1007/s00167-013-2470-7

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  • DOI: https://doi.org/10.1007/s00167-013-2470-7

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