2023 Annual Meeting Knee Access Pass-Revision ACL Reconstruction: One vs. TwoStage? My Algorithm for Success

Revision ACL Reconstruction: One vs. TwoStage? My Algorithm for Success

Video Transcription

Video Summary

Dr. Michael Elia discusses one- versus two-stage revision ACL reconstruction. He emphasizes staging mainly for suboptimal tunnel position or widening, extensive work, or patient preference. Key points include surgeon comfort guiding approach, knowing the patient’s goals/support, and detailed tunnel assessment using 3D CT scans. Options for one-stage include hardware augmentation, bone void fillers, bone-in grafts, or alternative tunnel paths. Two-stage surgery suits large defects or combined procedures like osteotomy plus meniscus transplant. Elia favors one-stage unless significant issues arise and stresses thoughtful, deliberate planning tailored to each patient for optimal outcomes.

Asset Caption

Michael J. Alaia, M.D.

Keywords

ACL reconstruction

one-stage revision

two-stage revision

tunnel assessment

surgical planning