Thank you for the response Michael.
Yes the meniscus repair was required as a result of the initial graft failure. Both injuries happened at once - innocuously after standing from a kneeling position.
> 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
