Surgical Considerations in Revision ACL Reconstruction (AANA19)-The Posterolateral Corner In Revision ACL Reconstruction-Dr. Ljiljana Bogunovic, M.D.

The Posterolateral Corner In Revision ACL Reconstruction-Dr. Ljiljana Bogunovic, M.D.

Video Transcription

Video Summary

Dr. from Washington University discusses revision ACL reconstruction with combined posterolateral corner (PLC) injuries. These injuries often cause ACL graft failures, either acutely or due to missed chronic PLC injuries. Key PLC structures include the lateral collateral ligament (LCL), popliteus, and popliteofibular ligament. Evaluation involves detailed neurovascular exams, laxity grading, and imaging to assess malalignment and ligament damage. Surgical options include acute repairs or chronic reconstructions, often with split Achilles tendon grafts, emphasizing proper tunnel placement to avoid convergence with ACL tunnels. Rehabilitation is slower than standard ACL repair, with prolonged bracing, restricted weight-bearing, and delayed return to sports, requiring thorough patient counseling.

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Instructional Course Lecture: Surgical Considerations in Revision ACL Reconstruction

Keywords

Revision ACL Reconstruction

Posterolateral Corner Injuries

Lateral Collateral Ligament

Split Achilles Tendon Graft

ACL Graft Failure