Two-stage revision anterior cruciate ligament reconstruction
10.1186/s43019-019-0010-6
- Author:
Du Han KIM
1
;
Ki Cheor BAE
;
Dong Wan KIM
;
Byung Chan CHOI
Author Information
1. Department of Orthopaedic Surgery, Dongsan Medical Center, School of Medicine, Keimyung University, 1035 Dalgubul-ro, Dalseo-gu, Daegu 42601, South Korea. bkc@dsmc.or.kr
- Publication Type:Review
- From:The Journal of Korean Knee Society
2019;31(4):e10-
- CountryRepublic of Korea
- Language:English
-
Abstract:
With the rising number of anterior cruciate ligament (ACL) reconstructions, revision ACL reconstructions are becoming increasingly common. A revision procedure may be performed to improved knee function, correct instability, and facilitate a return to normal activities. When performing a revision reconstruction, the surgeon decides between a single-stage or a two-stage revision. Two-stage revisions are rarely performed, but are particularly useful when addressing substantial tunnel-widening, active infection, and concomitant knee pathology (e.g., malalignment, other ligamentous injuries, meniscal or chondral lesions). Among these potential scenarios requiring a two-stage revision, tunnel-widening is the most common cause; the first stage involves graft removal, tunnel curettage, and bone grafting, followed by revision ACL reconstruction in the second stage. The purpose of this article is to review the preoperative planning, surgical considerations, rehabilitation, and outcomes of two-stage revision ACL reconstructions and summarize the recent literature outlining treatment results.
