Knee Ligament Surgery
A 28-year-old footballer presents 2 years after primary ACL reconstruction with recurrent instability episodes. The original surgery used hamstring autograft. Examination reveals a positive Lachman test and pivot shift. MRI shows graft attenuation with the tibial tunnel positioned anterior to the native ACL footprint. CT shows the tibial tunnel is 12mm diameter with minimal bone between the tunnel and the joint. Regarding ACL revision reconstruction:
Mark each as TRUE or FALSE
Causes of ACL graft failure include technical errors (tunnel malposition is most common - 70-80%), b...
Preoperative assessment requires full-length alignment radiographs (address varus thrust), stress ra...
Revision outcomes are better than primary; tunnel position rarely matters; CT is unnecessary; alignm...
Surgical options include single-stage revision (if tunnels allow correct placement with minimal over...
Concomitant procedures may be required including: meniscal transplantation (for deficient meniscus),...
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Click T (True) or F (False) for each option