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CASE REPORT
Year : 2017  |  Volume : 51  |  Issue : 3  |  Page : 343-346

One stage revision single-bundle anterior cruciate ligament reconstruction with impacted morselized bone graft following a failed double-bundle reconstruction


1 Department of Orthopedic Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea
2 Department of Orthopedic Surgery, Seoul Paik Hospital, Inje University, Seoul, Korea
3 Department of Orthopedic Surgery, Konkuk University Hospital, University of Konkuk, Seoul, Korea

Correspondence Address:
Jin Goo Kim
Department of Orthopedic Surgery, Konkuk University Hospital, University of Konkuk, No. 4-12, Hwayang-dong, Gwangjin-gu, Seoul
Korea
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5413.205676

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Although double-bundle anterior cruciate ligament (ACL) reconstruction has theoretical benefits such as more accurate reproduction of ACL anatomy, it is technically more demanding surgery. This report describes the case of a one stage revision single-bundle ACL reconstruction after primary double-bundle ACL reconstruction. A professional dancer had an ACL previously reconstructed with a double-bundle technique, but the femoral tunnels were malpositioned resulting in residual laxity and rotational instability. The previous femoral tunnel positions were vertical and widened. The previous vertical tunnels were filled with impacted bone graft and a revision single-bundle ACL reconstruction was performed via the new femoral tunnel with a 2 O'clock position between the previous two tunnels. After 10 months of postoperative rehabilitation, the patient returned to professional dancing with sound bony union and without any residual instability.


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