title: Revision anterior cruciate ligament reconstruction with bone-patellar tendon-bone allograft and extra-articular iliotibial band tenodesis.
abstract: Revision anterior cruciate ligament (ACL) reconstruction is a technically demanding procedure with outcomes that generally fail to reach those seen with primary ACL reconstruction. With most index procedures using autograft tissue, it is not uncommon for allograft tissue to be required for revision ACL reconstruction. Compared with autografts, allografts take longer to incorporate and lead to more episodes of instability. In this article, we describe ipsilateral iliotibial band tenodesis performed to augment use of bone-patellar tendon-bone allograft in revision ACL reconstruction. This technique adds rotational stability to protect the allograft tissue while it incorporates.
authors.affiliation: Department of Orthopaedic Surgery, University of Texas Health Sciences Center at Houston, Houston, TX. Randhir.Mascarenhas@uth.tmc.edu.
authors.forename: Randy
authors.initials: R
authors.lastname: Mascarenhas
authors.forename: Mark O
authors.initials: MO
authors.lastname: McConkey
authors.forename: Brian
authors.initials: B
authors.lastname: Forsythe
authors.forename: Christopher D
authors.initials: CD
authors.lastname: Harner
mesh_terms: D000070598:Anterior Cruciate Ligament Injuries; D059549:Anterior Cruciate Ligament Reconstruction / Q000379:methods*; D050376:Bone-Patellar Tendon-Bone Grafting; D006801:Humans; D007593:Joint Instability / Q000517:prevention & control; D007718:Knee Injuries / Q000601:surgery*; D012086:Reoperation; D053656:Tenodesis; D014184:Transplantation, Homologous