Revision Anterior Cruciate Ligament Reconstruction in Combination With Meniscal and Osteochondral Allograft Transplantation for Complex Knee Injury
Revision anterior cruciate ligament reconstruction (ACLR) may present a challenge as a result of several factors, including malpositioned bone tunnels, tunnel osteolysis, and the presence of previous hardware. In addition, concomitant pathology, specifically meniscal and cartilaginous injuries, may...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628724002822 |
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| author | Denisse Loya, M.D., M.Sc. Janina Kaarre, M.D., M.Sc. Stephen E. Marcaccio, M.D. Ehab M. Nazzal, M.D. Christopher J. Como, M.D. Zachary J. Herman, M.D. Liane M. Miller, M.D. Volker Musahl, M.D. |
| author_facet | Denisse Loya, M.D., M.Sc. Janina Kaarre, M.D., M.Sc. Stephen E. Marcaccio, M.D. Ehab M. Nazzal, M.D. Christopher J. Como, M.D. Zachary J. Herman, M.D. Liane M. Miller, M.D. Volker Musahl, M.D. |
| author_sort | Denisse Loya, M.D., M.Sc. |
| collection | DOAJ |
| description | Revision anterior cruciate ligament reconstruction (ACLR) may present a challenge as a result of several factors, including malpositioned bone tunnels, tunnel osteolysis, and the presence of previous hardware. In addition, concomitant pathology, specifically meniscal and cartilaginous injuries, may be present and should be addressed to minimize the risk of re-rupture. Revision ACLR and treatment of accompanying injuries can be performed either as a 1-stage or 2-stage procedure, yet the latter may increase surgical risk for the patient and extend recovery time. The over-the-top technique serves as a good option for revision ACLR and can be performed with careful consideration of patient-specific anatomy and with proper surgical planning. Therefore, this Technical Note aims to present our 1-stage surgical technique for revision ACLR using over-the-top technique with an Achilles tendon allograft, along with concomitant treatment for meniscal deficiency and a medial femoral condyle chondral defect using meniscal and osteochondral allografts, respectively. |
| format | Article |
| id | doaj-art-d6ec8b7befbd448db18862d7273d217f |
| institution | Kabale University |
| issn | 2212-6287 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj-art-d6ec8b7befbd448db18862d7273d217f2025-01-30T05:14:04ZengElsevierArthroscopy Techniques2212-62872025-01-01141103157Revision Anterior Cruciate Ligament Reconstruction in Combination With Meniscal and Osteochondral Allograft Transplantation for Complex Knee InjuryDenisse Loya, M.D., M.Sc.0Janina Kaarre, M.D., M.Sc.1Stephen E. Marcaccio, M.D.2Ehab M. Nazzal, M.D.3Christopher J. Como, M.D.4Zachary J. Herman, M.D.5Liane M. Miller, M.D.6Volker Musahl, M.D.7Orthopedic Surgery Department, Vall d’Hebron University Hospital, Barcelona, SpainDepartment of Orthopaedic Surgery, UPMC Freddie Fu Sports Medicine Center, University of Pittsburgh, Pennsylvania, U.S.A.; Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Address correspondence to Janina Kaarre, M.D., M.Sc., UPMC Freddie Fu Sports Medicine Center, University of Pittsburgh, 3200 South Water St., Pittsburgh, PA 15203, U.S.A.Department of Orthopaedic Surgery, UPMC Freddie Fu Sports Medicine Center, University of Pittsburgh, Pennsylvania, U.S.A.Department of Orthopaedic Surgery, UPMC Freddie Fu Sports Medicine Center, University of Pittsburgh, Pennsylvania, U.S.A.Department of Orthopaedic Surgery, UPMC Freddie Fu Sports Medicine Center, University of Pittsburgh, Pennsylvania, U.S.A.Department of Orthopaedic Surgery, UPMC Freddie Fu Sports Medicine Center, University of Pittsburgh, Pennsylvania, U.S.A.University of Pennsylvania Perelman School of Medicine, Orthopaedic Surgery, Philadelphia, Pennsylvania, U.S.A.Department of Orthopaedic Surgery, UPMC Freddie Fu Sports Medicine Center, University of Pittsburgh, Pennsylvania, U.S.A.Revision anterior cruciate ligament reconstruction (ACLR) may present a challenge as a result of several factors, including malpositioned bone tunnels, tunnel osteolysis, and the presence of previous hardware. In addition, concomitant pathology, specifically meniscal and cartilaginous injuries, may be present and should be addressed to minimize the risk of re-rupture. Revision ACLR and treatment of accompanying injuries can be performed either as a 1-stage or 2-stage procedure, yet the latter may increase surgical risk for the patient and extend recovery time. The over-the-top technique serves as a good option for revision ACLR and can be performed with careful consideration of patient-specific anatomy and with proper surgical planning. Therefore, this Technical Note aims to present our 1-stage surgical technique for revision ACLR using over-the-top technique with an Achilles tendon allograft, along with concomitant treatment for meniscal deficiency and a medial femoral condyle chondral defect using meniscal and osteochondral allografts, respectively.http://www.sciencedirect.com/science/article/pii/S2212628724002822 |
| spellingShingle | Denisse Loya, M.D., M.Sc. Janina Kaarre, M.D., M.Sc. Stephen E. Marcaccio, M.D. Ehab M. Nazzal, M.D. Christopher J. Como, M.D. Zachary J. Herman, M.D. Liane M. Miller, M.D. Volker Musahl, M.D. Revision Anterior Cruciate Ligament Reconstruction in Combination With Meniscal and Osteochondral Allograft Transplantation for Complex Knee Injury Arthroscopy Techniques |
| title | Revision Anterior Cruciate Ligament Reconstruction in Combination With Meniscal and Osteochondral Allograft Transplantation for Complex Knee Injury |
| title_full | Revision Anterior Cruciate Ligament Reconstruction in Combination With Meniscal and Osteochondral Allograft Transplantation for Complex Knee Injury |
| title_fullStr | Revision Anterior Cruciate Ligament Reconstruction in Combination With Meniscal and Osteochondral Allograft Transplantation for Complex Knee Injury |
| title_full_unstemmed | Revision Anterior Cruciate Ligament Reconstruction in Combination With Meniscal and Osteochondral Allograft Transplantation for Complex Knee Injury |
| title_short | Revision Anterior Cruciate Ligament Reconstruction in Combination With Meniscal and Osteochondral Allograft Transplantation for Complex Knee Injury |
| title_sort | revision anterior cruciate ligament reconstruction in combination with meniscal and osteochondral allograft transplantation for complex knee injury |
| url | http://www.sciencedirect.com/science/article/pii/S2212628724002822 |
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