Management of Bone Loss and Tunnel Widening in Revision ACL Reconstruction.
Christopher J McMellenMargaret A SinklerJacob G CalceiTaylor E HobsonMichael R KarnsJames E VoosPublished in: The Journal of bone and joint surgery. American volume (2023)
➤ Both mechanical and biological factors can contribute to bone loss and tunnel widening following primary anterior cruciate ligament (ACL) reconstruction.➤ Revision ACL surgery success is dependent on graft position, fixation, and biological incorporation.➤ Both 1-stage and 2-stage revision ACL reconstructions can be successful in correctly indicated patients.➤ Potential future solutions may involve the incorporation of biological agents to enhance revision ACL surgery, including the use of bone marrow aspirate concentrate, platelet-rich plasma, and bone morphogenetic protein-2.
Keyphrases
- bone loss
- total knee arthroplasty
- minimally invasive
- total hip arthroplasty
- platelet rich plasma
- bone marrow
- coronary artery bypass
- anterior cruciate ligament
- end stage renal disease
- newly diagnosed
- ejection fraction
- chronic kidney disease
- mesenchymal stem cells
- prognostic factors
- surgical site infection
- coronary artery disease
- percutaneous coronary intervention
- contrast enhanced