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Bob's ACL WWWBoard
Re: Two-stage ACL revision -- Common causes of failure of original ACL graft...
Posted By: Michael Frind
Date: Sunday, 28 February 2010, at 11:38 p.m.
In Response To: 2 stage acl revision (aclrev)
Dear ACLrev,
Was the meniscus repair required as a result of the original ACL graft failing?
Did your original ACL graft fail as a result of misplaced bone tunnels (i.e. surgeon error)? Incorrectly placed bone tunnels are the single most common cause of ACL-graft failure. While there are many excellent knee surgeons out there, there are (sadly) still many surgeons out there who feel that ACL reconstruction is child's play simply because it is such a common surgery. However, to reconstruct an ACL properly requires tremendous skill, in addition to a strong understanding of how the knee works. Correctly drilling the graft-anchoring tunnels is both an art and a science.
Or, was some other cause (or combination of causes) identified? For example, was the intercondylar notch widened (notchplasty, which is considered standard procedure because it ensures that there is sufficient room for the ACL graft to reside in the joint space; otherwise the graft could end up being guillotined as the knee moves) in the original ACL reconstruction? And, were any unusual biomechanical attributes identified, for example knockkneedness (genu valgum) or bowleggedness (genu varum)?
Or, was the failure a result of a distinct reinjury event, for example a contact-type injury in football, basketball, or other such sport?
Yours truly,
Michael Frind.
Knee Library http://factotem.org/library
Messages In This Thread
- 2 stage acl revision (views: 401) -- aclrev -- Sunday, 28 February 2010, at 11:57 a.m.
- Re: Two-stage ACL revision -- Common causes of failure of original ACL graft... (views: 118) -- Michael Frind -- Sunday, 28 February 2010, at 11:38 p.m.
- Re: 2 stage acl revision (views: 135) -- brent erwin -- Sunday, 28 February 2010, at 9:58 p.m.
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