title: Surgical Pearls in Revision Anterior Cruciate Ligament Surgery: When Must I Stage?
abstract: Failed anterior cruciate ligament (ACL) reconstruction is a challenging clinical entity and revision ACL reconstruction is a technically challenging procedure. This article reviews the etiology of ACL failures, the need for appropriate examination and imaging studies, and discusses the technical considerations to allow for a successful revision reconstruction. Furthermore, we elaborate on the decision-making process of when a 2-stage revision is preferred to a single-stage revision.
authors.affiliation: Department of Orthopaedic Surgery, University of Virginia, 400 Ray C. Hunt Drive, Suite 300, Charlottesville, VA 22903, USA. Electronic address: dustin.richter1818@gmail.com.
authors.forename: Dustin L
authors.initials: DL
authors.lastname: Richter
authors.affiliation: Department of Orthopaedic Surgery, University of Virginia, 400 Ray C. Hunt Drive, Suite 300, Charlottesville, VA 22903, USA.
authors.forename: Brian C
authors.initials: BC
authors.lastname: Werner
authors.affiliation: Department of Orthopaedic Surgery, University of Virginia, 400 Ray C. Hunt Drive, Suite 300, Charlottesville, VA 22903, USA.
authors.forename: Mark D
authors.initials: MD
authors.lastname: Miller
mesh_terms: D000070598:Anterior Cruciate Ligament Injuries / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D059549:Anterior Cruciate Ligament Reconstruction / Q000009:adverse effects / Q000379:methods*; D001182:Arthroscopy / Q000009:adverse effects / Q000379:methods; D001265:Athletic Injuries / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D010014:Osteolysis; D011183:Postoperative Complications; D012086:Reoperation; D017211:Treatment Failure
keywords: ACL failure; Revision ACL; Tunnel osteolysis; Two-stage ACL