Arthroscopic Bone Graft Technique for Two-Stage Revision Anterior Cruciate Ligament Reconstruction

Overview

Journal Arthrosc Tech

Publisher Elsevier

Date 2022 Oct 31

PMID 36311315

Authors

Eric Welder

Robert A Magnussen

Sean Fitzpatrick

Robert A Duerr

Christopher C Kaeding

David C Flanigan

Affiliations

Soon will be listed here.

Abstract

Revision anterior cruciate ligament reconstruction is an increasingly common procedure, with 2-stage surgery often required to address large bone defects and malpositioned tunnels. The arthroscopic bone grafting technique described herein uses morselized allograft bone to provide reproducible fill of asymmetrical bone defects without autograft harvest or additional loss of native bone. The second stage of the anterior cruciate ligament reconstruction can typically proceed 6 months following bone grafting.

Citing Articles

Arthroscopic Bone Grafting of Anterior Cruciate Ligament and Posterior Cruciate Ligament Tibial and Femoral Tunnels as a First-Stage Procedure.

Shoemaker E, Tollefson L, Jacobson N, Slette E, LaPrade R Arthrosc Tech. 2025; 14(2):103201.

PMID: 40041361 PMC: 11873524. DOI: 10.1016/j.eats.2024.103201.

Simultaneous Tunnel Grafting and Anterior Cruciate Ligament Reconstructions Revision Using Double Suspensory Fixation: A Single-Stage Solution.

Tabatabaei Irani P, Ayati Firoozabadi M, Toofan H, Seyedtabaei S, Poursalehian M, Ghasemian M Arthrosc Tech. 2024; 13(1):102806.

PMID: 38312866 PMC: 10837771. DOI: 10.1016/j.eats.2023.08.011.

References

Shelbourne K, Heinrich J . The long-term evaluation of lateral meniscus tears left in situ at the time of anterior cruciate ligament reconstruction. Arthroscopy. 2004; 20(4):346-51. DOI: 10.1016/j.arthro.2004.01.029. View

Grasso S, Linklater J, Li Q, Parker D . Validation of an MRI Protocol for Routine Quantitative Assessment of Tunnel Position in Anterior Cruciate Ligament Reconstruction. Am J Sports Med. 2018; 46(7):1624-1631. DOI: 10.1177/0363546518758950. View

Chahla J, Dean C, Cram T, Civitarese D, OBrien L, Moulton S . Two-Stage Revision Anterior Cruciate Ligament Reconstruction: Bone Grafting Technique Using an Allograft Bone Matrix. Arthrosc Tech. 2016; 5(1):e189-95. PMC: 4886209. DOI: 10.1016/j.eats.2015.10.021. View

LaPrade R, Spiridonov S, Nystrom L, Jansson K . Prospective outcomes of young and middle-aged adults with medial compartment osteoarthritis treated with a proximal tibial opening wedge osteotomy. Arthroscopy. 2011; 28(3):354-64. DOI: 10.1016/j.arthro.2011.08.310. View

Christensen J, Krych A, Engasser W, Vanhees M, Collins M, Dahm D . Lateral Tibial Posterior Slope Is Increased in Patients With Early Graft Failure After Anterior Cruciate Ligament Reconstruction. Am J Sports Med. 2015; 43(10):2510-4. DOI: 10.1177/0363546515597664. View

Erickson B, Cvetanovich G, Frank R, Riff A, Bach Jr B . Revision ACL Reconstruction: A Critical Analysis Review. JBJS Rev. 2017; 5(6):e1. DOI: 10.2106/JBJS.RVW.16.00094. View

Clatworthy M, Annear P, Bulow J, Bartlett R . Tunnel widening in anterior cruciate ligament reconstruction: a prospective evaluation of hamstring and patella tendon grafts. Knee Surg Sports Traumatol Arthrosc. 1999; 7(3):138-45. DOI: 10.1007/s001670050138. View

Mitchell J, Chahla J, Dean C, Cinque M, Matheny L, LaPrade R . Outcomes After 1-Stage Versus 2-Stage Revision Anterior Cruciate Ligament Reconstruction. Am J Sports Med. 2017; 45(8):1790-1798. DOI: 10.1177/0363546517698684. View

Segawa H, Omori G, Tomita S, Koga Y . Bone tunnel enlargement after anterior cruciate ligament reconstruction using hamstring tendons. Knee Surg Sports Traumatol Arthrosc. 2001; 9(4):206-10. DOI: 10.1007/s001670100201. View

10.

Thomas N, Kankate R, Wandless F, Pandit H . Revision anterior cruciate ligament reconstruction using a 2-stage technique with bone grafting of the tibial tunnel. Am J Sports Med. 2005; 33(11):1701-9. DOI: 10.1177/0363546505276759. View

11.

Buyukdogan K, Laidlaw M, Miller M . Two-Stage Revision Anterior Cruciate Ligament Reconstruction Using Allograft Bone Dowels. Arthrosc Tech. 2018; 6(4):e1297-e1302. PMC: 5622280. DOI: 10.1016/j.eats.2017.05.010. View

12.

Getgood A, Bryant D, Litchfield R, Heard M, McCormack R, Rezansoff A . Lateral Extra-articular Tenodesis Reduces Failure of Hamstring Tendon Autograft Anterior Cruciate Ligament Reconstruction: 2-Year Outcomes From the STABILITY Study Randomized Clinical Trial. Am J Sports Med. 2020; 48(2):285-297. DOI: 10.1177/0363546519896333. View

13.

Cantin O, Magnussen R, Corbi F, Servien E, Neyret P, Lustig S . The role of high tibial osteotomy in the treatment of knee laxity: a comprehensive review. Knee Surg Sports Traumatol Arthrosc. 2015; 23(10):3026-37. DOI: 10.1007/s00167-015-3752-z. View

14.

Desai N, Andernord D, Sundemo D, Alentorn-Geli E, Musahl V, Fu F . Revision surgery in anterior cruciate ligament reconstruction: a cohort study of 17,682 patients from the Swedish National Knee Ligament Register. Knee Surg Sports Traumatol Arthrosc. 2016; 25(5):1542-1554. PMC: 5432593. DOI: 10.1007/s00167-016-4399-0. View

15.

Wright R, Magnussen R, Dunn W, Spindler K . Ipsilateral graft and contralateral ACL rupture at five years or more following ACL reconstruction: a systematic review. J Bone Joint Surg Am. 2011; 93(12):1159-65. PMC: 3110421. DOI: 10.2106/JBJS.J.00898. View

16.

Borchers J, Kaeding C, Pedroza A, Huston L, Spindler K, Wright R . Intra-articular findings in primary and revision anterior cruciate ligament reconstruction surgery: a comparison of the MOON and MARS study groups. Am J Sports Med. 2011; 39(9):1889-93. PMC: 3643140. DOI: 10.1177/0363546511406871. View

17.

Johnson D, Swenson T, Irrgang J, Fu F, Harner C . Revision anterior cruciate ligament surgery: experience from Pittsburgh. Clin Orthop Relat Res. 1996; (325):100-9. DOI: 10.1097/00003086-199604000-00011. View

18.

Loia M, Vanni S, Rosso F, Bonasia D, Bruzzone M, Dettoni F . High tibial osteotomy in varus knees: indications and limits. Joints. 2016; 4(2):98-110. PMC: 4993553. DOI: 10.11138/jts/2016.4.2.098. View

19.

Wang D, Rodeo S . Platelet-Rich Plasma in Orthopaedic Surgery: A Critical Analysis Review. JBJS Rev. 2017; 5(9):e7. DOI: 10.2106/JBJS.RVW.17.00024. View

20.

Webb J, Salmon L, Leclerc E, Pinczewski L, Roe J . Posterior tibial slope and further anterior cruciate ligament injuries in the anterior cruciate ligament-reconstructed patient. Am J Sports Med. 2013; 41(12):2800-4. DOI: 10.1177/0363546513503288. View