Elsevier

Arthroscopy Techniques

Volume 5, Issue 1, February 2016, Pages e189-e195
Arthroscopy Techniques

Technical Note
Two-Stage Revision Anterior Cruciate Ligament Reconstruction: Bone Grafting Technique Using an Allograft Bone Matrix

https://doi.org/10.1016/j.eats.2015.10.021Get rights and content
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open access

Abstract

Outcomes of primary anterior cruciate ligament (ACL) reconstruction have been reported to be far superior to those of revision reconstruction. However, as the incidence of ACL reconstruction is rapidly increasing, so is the number of failures. The subsequent need for revision ACL reconstruction is estimated to occur in up to 13,000 patients each year in the United States. Revision ACL reconstruction can be performed in one or two stages. A two-stage approach is recommended in cases of improper placement of the original tunnels or in cases of unacceptable tunnel enlargement. The aim of this study was to describe the technique for allograft ACL tunnel bone grafting in patients requiring a two-stage revision ACL reconstruction.

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The authors report the following potential conflict of interest or source of funding: Steadman Philippon Research Institute receives support from Arthrex, Ossur, Siemens, and Smith & Nephew. R.F.L. receives support from Arthrex; Smith & Nephew; Ossur; Health East, Norway; and National Institutes of Health R13 grant for biologics.