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One-Stage ACL Revision Using a Bone Allograft Plug for a Semianatomic Tibial Tunnel That Is Too Anterior
Revision of an anterior cruciate ligament (ACL) reconstruction can be performed as a one-stage or two-stage surgery. Several factors must be taken into consideration when making this choice, especially the size and position of the existing tunnels. When the tibial tunnel is semianatomic, it is diffi...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8897652/ https://www.ncbi.nlm.nih.gov/pubmed/35256992 http://dx.doi.org/10.1016/j.eats.2021.11.019 |
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author | Philippe, Corentin Marot, Vincent Courtot, Louis Mesnier, Timothée Reina, Nicolas Cavaignac, Etienne |
author_facet | Philippe, Corentin Marot, Vincent Courtot, Louis Mesnier, Timothée Reina, Nicolas Cavaignac, Etienne |
author_sort | Philippe, Corentin |
collection | PubMed |
description | Revision of an anterior cruciate ligament (ACL) reconstruction can be performed as a one-stage or two-stage surgery. Several factors must be taken into consideration when making this choice, especially the size and position of the existing tunnels. When the tibial tunnel is semianatomic, it is difficult to make a new tunnel in the correct position without overlapping the existing tunnel. For this reason, we have developed a one-stage ACL revision surgery that uses a bone allograft plug. When it comes to choosing a reconstruction technique, we believe that combined intra-articular and extra-articular reconstruction with the iliotibial band is suitable when the hamstring tendons are not available, combined with clinical findings of translational and rotational instability. Because the existing tunnels require reorientation, a new femoral tunnel can be created by outside-in drilling to eliminate the risk of overlap, while an allograft bone plug can be used to fill the overly anterior tibial tunnel and allow us to drill the correct tibial tunnel right away. In our hands, this is a safe and effective technique, but longer follow-up is needed to validate its indications. |
format | Online Article Text |
id | pubmed-8897652 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-88976522022-03-06 One-Stage ACL Revision Using a Bone Allograft Plug for a Semianatomic Tibial Tunnel That Is Too Anterior Philippe, Corentin Marot, Vincent Courtot, Louis Mesnier, Timothée Reina, Nicolas Cavaignac, Etienne Arthrosc Tech Technical Note Revision of an anterior cruciate ligament (ACL) reconstruction can be performed as a one-stage or two-stage surgery. Several factors must be taken into consideration when making this choice, especially the size and position of the existing tunnels. When the tibial tunnel is semianatomic, it is difficult to make a new tunnel in the correct position without overlapping the existing tunnel. For this reason, we have developed a one-stage ACL revision surgery that uses a bone allograft plug. When it comes to choosing a reconstruction technique, we believe that combined intra-articular and extra-articular reconstruction with the iliotibial band is suitable when the hamstring tendons are not available, combined with clinical findings of translational and rotational instability. Because the existing tunnels require reorientation, a new femoral tunnel can be created by outside-in drilling to eliminate the risk of overlap, while an allograft bone plug can be used to fill the overly anterior tibial tunnel and allow us to drill the correct tibial tunnel right away. In our hands, this is a safe and effective technique, but longer follow-up is needed to validate its indications. Elsevier 2022-02-28 /pmc/articles/PMC8897652/ /pubmed/35256992 http://dx.doi.org/10.1016/j.eats.2021.11.019 Text en © 2021 Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Technical Note Philippe, Corentin Marot, Vincent Courtot, Louis Mesnier, Timothée Reina, Nicolas Cavaignac, Etienne One-Stage ACL Revision Using a Bone Allograft Plug for a Semianatomic Tibial Tunnel That Is Too Anterior |
title | One-Stage ACL Revision Using a Bone Allograft Plug for a Semianatomic Tibial Tunnel That Is Too Anterior |
title_full | One-Stage ACL Revision Using a Bone Allograft Plug for a Semianatomic Tibial Tunnel That Is Too Anterior |
title_fullStr | One-Stage ACL Revision Using a Bone Allograft Plug for a Semianatomic Tibial Tunnel That Is Too Anterior |
title_full_unstemmed | One-Stage ACL Revision Using a Bone Allograft Plug for a Semianatomic Tibial Tunnel That Is Too Anterior |
title_short | One-Stage ACL Revision Using a Bone Allograft Plug for a Semianatomic Tibial Tunnel That Is Too Anterior |
title_sort | one-stage acl revision using a bone allograft plug for a semianatomic tibial tunnel that is too anterior |
topic | Technical Note |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8897652/ https://www.ncbi.nlm.nih.gov/pubmed/35256992 http://dx.doi.org/10.1016/j.eats.2021.11.019 |
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