One stage revision single-bundle anterior cruciate ligament reconstruction with impacted morselized bone graft following a failed double-bundle reconstruction.

Abstract:

:Although double-bundle anterior cruciate ligament (ACL) reconstruction has theoretical benefits such as more accurate reproduction of ACL anatomy, it is technically more demanding surgery. This report describes the case of a one stage revision single-bundle ACL reconstruction after primary double-bundle ACL reconstruction. A professional dancer had an ACL previously reconstructed with a double-bundle technique, but the femoral tunnels were malpositioned resulting in residual laxity and rotational instability. The previous femoral tunnel positions were vertical and widened. The previous vertical tunnels were filled with impacted bone graft and a revision single-bundle ACL reconstruction was performed via the new femoral tunnel with a 2 O'clock position between the previous two tunnels. After 10 months of postoperative rehabilitation, the patient returned to professional dancing with sound bony union and without any residual instability.

journal_name

Indian J Orthop

authors

Ra HJ,Ha JK,Kim JG,Hwang DY

doi

10.4103/0019-5413.205676

subject

Has Abstract

pub_date

2017-05-01 00:00:00

pages

343-346

issue

3

eissn

0019-5413

issn

1998-3727

pii

IJOrtho-51-343

journal_volume

51

pub_type

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