Scope Essentials 2024-When do I stage a Revision ACL Reconstruction?

Video Transcription

Video Summary

Dr. Zichilli discusses important factors to consider when staging revision ACL reconstructions. He highlights technical factors such as bone tunnels, rehab, and other injuries, emphasizing the importance of using autographs over allografts for better outcomes. The speaker stresses the need to set ground rules and mentions that the first revision is crucial for success. Factors like malposition of tunnels and bone grafting play a significant role in decision-making. The transcript also covers surgeon factors, patient factors, and the impact of concomitant injuries like meniscal tears on staging decisions. The use of dowels for filling bone tunnels is discussed, along with the importance of evaluating patient readiness and shared decision-making. The benefits of staging procedures are underscored for better long-term results based on clinical data.

Asset Caption

Michael Zacchilli, M.D.

Keywords

revision ACL reconstructions

autografts vs allografts

bone tunnels

concomitant injuries

surgeon limitations

patient preferences

staging decisions

patient readiness