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Fixation in Revision ACL Reconstruction

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Revision ACL Reconstruction

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Abstract

Anterior cruciate ligament (ACL) revision reconstructions are likely to increase as the number of primary ACL reconstructions increases. Poor prior tunnel locations and tunnel expansion can complicate fixation of the graft in a revision setting, and thus the surgeon must be familiar with multiple different fixation methods, their advantages, disadvantages, and potential complications. This chapter reviews the various fixation types that can be used with soft tissue-to-bone or bone-to-bone fixation, the biomechanical properties of several common fixation devices, and offers technical advice for hardware removal and graft fixation in the setting of nearby prior tunnels or tunnel expansion.

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Authors and Affiliations

  1. Regeneration Orthopedics, St. Louis Center for Cartilage Restoration and Repair, 6 McBride & Sons Center Drive, Suite 204, St. Louis, MO, 63005, USA

    Nathan A. Mall MD

  2. Department of Orthopaedics Surgery, Tulane University School of Medicine, 1430 Tulane Avenue, SL32, New Orleans, LA, 70112, USA

    Wendell M. R. Heard MD

  3. Orthopaedic Surgery, Sports Medicine Section, Rush University Medical Center, 1611 W. Harrison Avenue, Suite 300, Chicago, IL, 60612, USA

    Nikhil N. Verma MD & Bernard R. Bach Jr. MD

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  1. Nathan A. Mall MD
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  2. Wendell M. R. Heard MD
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  3. Nikhil N. Verma MD
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  4. Bernard R. Bach Jr. MD
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Correspondence to Nathan A. Mall MD .

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  1. Orthopaedic Surgery, Hospital for Special Surgery Weill Cornell Medical College, New York, New York, USA

    Robert G. Marx

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Mall, N.A., Heard, W.M.R., Verma, N.N., Bach, B.R. (2014). Fixation in Revision ACL Reconstruction. In: Marx, R. (eds) Revision ACL Reconstruction. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-0766-9_11

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