Single-Stage Revision Anterior Cruciate Ligament Reconstruction Using the Stacked Screws Technique

Single-stage revision anterior cruciate ligament (ACL) reconstruction is preferable to 2-stage revision, when possible, as it avoids an additional surgery and recovery period. Malpositioned and/or widened bone tunnels are a common cause of ACL reconstruction failure and are challenging to manage in...

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Detalles Bibliográficos
Autores principales: Engler, Ian D., Sylvia, Stephen M., Salzler, Matthew J., Forlizzi, Julianne M., Gill,, Thomas J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Technical Note
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9353588/
https://www.ncbi.nlm.nih.gov/pubmed/35936852
http://dx.doi.org/10.1016/j.eats.2022.03.020
Descripción
Sumario:Single-stage revision anterior cruciate ligament (ACL) reconstruction is preferable to 2-stage revision, when possible, as it avoids an additional surgery and recovery period. Malpositioned and/or widened bone tunnels are a common cause of ACL reconstruction failure and are challenging to manage in revision reconstructions. The “stacked screws construct” fills the previous malpositioned tunnels and bone voids with an oversized biocomposite screw as graft material. The revised tunnel can then be drilled in an anatomic “primary” location, even partially overlapping the filler screw. This technique simplifies tunnel management in revision ACL reconstruction.

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