How to repair an immediately post-operative anterior cruciate ligament reconstruction failure? About a clinical case

Authors

  • Joao Estves Serviço de Ortopedia, Centro Hospitalar e Universitário do Porto, Porto, Portugal http://orcid.org/0000-0003-3867-1523
  • Joao Maia Rosa Serviço de Ortopedia, Centro Hospitalar e Universitário do Porto, Porto, Portugal
  • Luis Barros Serviço de Ortopedia, Centro Hospitalar e Universitário do Porto, Porto, Portugal
  • Ana Ribau Serviço de Ortopedia, Centro Hospitalar e Universitário do Porto, Porto, Portugal
  • Paulo Pereira Serviço de Ortopedia, Centro Hospitalar e Universitário do Porto, Porto, Portugal
  • Adelio Vilaça Serviço de Ortopedia, Centro Hospitalar e Universitário do Porto, Porto, Portugal

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20194834

Keywords:

Anterior cruciate ligament reconstruction, Anterior cruciate ligament revision, Graft preservation, Wall-blowout

Abstract

We present a 23-year-old male with an early anterior cruciate ligament (ACL) reconstruction failure due to lateral wall blow-out, diagnosed on day one post-op. We were able to perform the revision using the original graft, and maintaining the initial tibial fixation, revising only the femoral fixation. At 1-year follow-up the patient is asymptomatic. In the early ACL reconstruction failures due to femoral wall blowout, it is possible to perform the revision surgery using the same graft and maintaining the same tibial fixation. This avoids de morbidity of a new graft harvest and the need for a new tibial tunnel.

References

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Published

2019-10-22