Specialized Toolkit Series: ACL Reconstruction-Revision ACL Reconstruction: One Vs. Two Stage? My Algorithm for Success

Revision ACL Reconstruction: One Vs. Two Stage? My Algorithm for Success

Video Transcription

Video Summary

Michael Elia discusses the choice between one-stage and two-stage ACL revision surgeries. He suggests staging based on factors like suboptimal tunnels, patient fear, or complexity. Key takeaways include knowing your comfort level, understanding patient goals, and evaluating knee conditions. Techniques involve hardware augmentation, void filling, graft choice adaptations, and tunnel modifications. Elia usually prefers one-stage surgeries unless significant bone defects necessitate two stages. He recommends inventory arthroscopy for more information and emphasizes the importance of planning and adapting surgical strategies according to individual cases and patient needs.

Asset Caption

Michael J. Alaia, M.D.
Associate Professor, NYU Langone Health

Keywords

ACL revision surgery

patient-specific factors

bone loss

surgical strategies

surgeon confidence

one-stage vs two-stage

surgical techniques

patient goals

surgical planning