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