Tunnel Management in Revision Anterior Cruciate Ligament Reconstruction: Current Concepts

Author:

Wolfson Theodore S.1ORCID,Mannino Brian1,Owens Brett D.2ORCID,Waterman Brian R.3,Alaia Michael J.1

Affiliation:

1. NYU Langone Health, New York, New York, USA

2. Brown University Alpert Medical School, East Providence, Rhode Island, USA

3. Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA

Abstract

Bone tunnel–related complications are frequently encountered during revision anterior cruciate ligament reconstruction (ACLR). Issues with tunnel positioning, enlargement, containment, and hardware interference may complicate surgery and compromise outcomes. As a result, several strategies have emerged to address these issues and optimize results. However, a systematic, unified approach to tunnel pathology in revision ACLR is lacking. The purpose of this review is to highlight the current state of the literature on bone tunnel complications and, although extensive literature on the subject is lacking, present an updated approach to the evaluation and management of tunnel-related issues in revision ACLR.

Publisher

SAGE Publications

Subject

Physical Therapy, Sports Therapy and Rehabilitation,Orthopedics and Sports Medicine

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