2021 Annual Meeting Knee Access Pass-Revision Anterior Cruciate Ligament: How Many Stages

Revision Anterior Cruciate Ligament: How Many Stages

Video Transcription

Video Summary

This talk addresses ACL graft failure, emphasizing the importance of proper initial surgery and avoiding revision. Key points include common causes such as tunnel osteolysis, malpositioned tunnels, and technical errors. Evaluation involves X-rays, MRI, and CT scans, with CT being vital for assessing bone tunnels. Tunnel widening is a major concern in revisions, often necessitating one- or two-stage surgery using allograft bone dowels to fill defects. Proper tunnel placement, fixation, and addressing concurrent knee issues like meniscal tears and tibial slope are crucial. The speaker advocates staging when tunnels exceed 14mm, thorough pre-op planning, and ensuring secure fixation for successful revision ACL reconstruction.

Asset Caption

Dr. Mark Miller | ACL Graft and Revision

Keywords

ACL graft failure

tunnel osteolysis

revision ACL surgery

bone tunnel assessment

meniscal tear management