Revision after anterior cruciate ligament reconstruction by restoration of the posterolateral bundle

Peter U. Brucker; Boris A. Zelle; Freddie H. Fu

doi:10.1053/j.oto.2004.11.015

Revision after anterior cruciate ligament reconstruction by restoration of the posterolateral bundle

Peter U. Brucker, Boris A. Zelle, Freddie H. Fu

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

Recurrent instability after primary single-bundle anterior cruciate ligament (ACL) reconstruction is predominantly caused by technical errors. Delayed biological incorporation and traumatic reinjury represent other factors of ACL graft failure. However, there are patients with an intact single-bundle ACL graft complaining of recurrent instability where imaging studies lack inappropriate positioning of the tunnels and other technical errors. This recurrent instability may be caused by an incomplete restoration of the native ACL because biomechanical studies have shown only partial restoration of normal kinematics in single-bundle ACL reconstruction. We present 2 cases of recurrent instability after primary single-bundle ACL reconstruction that demonstrated an intact ACL graft. We performed an augmentation of the intact ACL graft representing the anteromedial bundle by reconstruction of the posterolateral bundle. This novel technique may address a (partially) recurrent instability after primary ACL reconstruction.

Original language	English (US)
Pages (from-to)	146-150
Number of pages	5
Journal	Operative Techniques in Orthopaedics
Volume	15
Issue number	2
DOIs	https://doi.org/10.1053/j.oto.2004.11.015
State	Published - Apr 2005
Externally published	Yes

Keywords

Anterior cruciate ligament
Anteromedial bundle
Arthroscopy
Posterolateral bundle
Reconstruction
Revision

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

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10.1053/j.oto.2004.11.015

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title = "Revision after anterior cruciate ligament reconstruction by restoration of the posterolateral bundle",

abstract = "Recurrent instability after primary single-bundle anterior cruciate ligament (ACL) reconstruction is predominantly caused by technical errors. Delayed biological incorporation and traumatic reinjury represent other factors of ACL graft failure. However, there are patients with an intact single-bundle ACL graft complaining of recurrent instability where imaging studies lack inappropriate positioning of the tunnels and other technical errors. This recurrent instability may be caused by an incomplete restoration of the native ACL because biomechanical studies have shown only partial restoration of normal kinematics in single-bundle ACL reconstruction. We present 2 cases of recurrent instability after primary single-bundle ACL reconstruction that demonstrated an intact ACL graft. We performed an augmentation of the intact ACL graft representing the anteromedial bundle by reconstruction of the posterolateral bundle. This novel technique may address a (partially) recurrent instability after primary ACL reconstruction.",

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AU - Brucker, Peter U.

AU - Zelle, Boris A.

AU - Fu, Freddie H.

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N2 - Recurrent instability after primary single-bundle anterior cruciate ligament (ACL) reconstruction is predominantly caused by technical errors. Delayed biological incorporation and traumatic reinjury represent other factors of ACL graft failure. However, there are patients with an intact single-bundle ACL graft complaining of recurrent instability where imaging studies lack inappropriate positioning of the tunnels and other technical errors. This recurrent instability may be caused by an incomplete restoration of the native ACL because biomechanical studies have shown only partial restoration of normal kinematics in single-bundle ACL reconstruction. We present 2 cases of recurrent instability after primary single-bundle ACL reconstruction that demonstrated an intact ACL graft. We performed an augmentation of the intact ACL graft representing the anteromedial bundle by reconstruction of the posterolateral bundle. This novel technique may address a (partially) recurrent instability after primary ACL reconstruction.

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KW - Anterior cruciate ligament

KW - Anteromedial bundle

KW - Arthroscopy

KW - Posterolateral bundle

KW - Reconstruction

KW - Revision

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Revision after anterior cruciate ligament reconstruction by restoration of the posterolateral bundle

Abstract

Keywords

ASJC Scopus subject areas

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