2021 Annual Meeting Knee Access Pass-Revision Anterior Cruciate Ligament: How Many Stages

Video Transcription

Video Summary

In this video, the speaker discusses ACL (anterior cruciate ligament) graft failure and the causes behind it. The common causes of graft failure are explained, with an emphasis on osteolysis. The speaker also discusses the importance of proper tunnel placement during ACL reconstruction and provides specific guidelines for femoral and tibial tunnel positions. Other factors contributing to graft failure, such as technical errors and concurrent pathologies, are also discussed. The video further goes into detail about tunnel widening and its implications in revision ACL reconstruction. The speaker explains the patient workup process for revision ACL and outlines various options for filling widened tunnels, with a preference for allograft bone dowels. The video concludes with ten pieces of advice for staging and performing ACL revision surgeries.

Asset Caption

Dr. Mark Miller | ACL Graft and Revision

Meta Tag

Concept Revision ACL Failure

Concept Tunnel Malposition

Concept Revision ACL Reconstruction

Concept Anatomic Tunnel Placement

Concept Technical Error

Keywords

ACL graft failure

tunnel placement

tunnel widening

revision ACL reconstruction

allograft bone dowels

Revision ACL Failure

Tunnel Malposition

Revision ACL Reconstruction

Anatomic Tunnel Placement

Technical Error