Knee Surg Relat Res.  2019 Dec;31(4):e10. 10.1186/s43019-019-0010-6.

Two-stage revision anterior cruciate ligament reconstruction

• Kim DH
• Bae KC
• Kim DW
• Choi BC

• KMID: 2469773
• DOI: http://doi.org/10.1186/s43019-019-0010-6

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.

Keyword

Knee; Anterior cruciate ligament; Reconstruction; Revision; Stage

MeSH Terms

Anterior Cruciate Ligament Reconstruction*
Anterior Cruciate Ligament*
Bone Transplantation
Curettage
Knee
Ligaments
Pathology
Rehabilitation
Transplants