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Titlebook: Revision Anterior Cruciate Ligament Reconstruction; A Case-Based Approac Michael J. Alaia,Kristofer J. Jones Book 2022 Springer Nature Swit

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Management of Lateral Meniscus Deficiency in Revision ACL Reconstruction, is associated with increased rotatory laxity. Similarly, lateral meniscus deficiency is a risk factor for failure of ACL reconstruction. Studies have demonstrated that meniscal-deficient patients report lower subjective outcome scores, significant activity limitations, and progressive radiographic
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Graft Options in the Revision ACL Setting,h adverse chemical processing or irradiation. Ultimately, a technically well-performed ACL reconstruction is critical for early graft remodeling, function, and longer-term survivorship from reoperation, regardless of graft selection.
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Management of Osteolysis in Revision ACL: The Role of Single-Stage Reconstruction,cated to manage in a single-stage revision, but can be navigated with various techniques, including bone grafting, tunnel divergence, or using prior hardware as a space filler. Recent literature has shown good to excellent outcomes with single-stage revision in the setting of tunnel widening.
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Management of Medial-Sided Ligamentous Laxity and Posteromedial Corner,iomechanical validation and favorable clinical outcomes. Failure to successfully restore medial knee laxity can lead to chronic instability, knee pain, and cruciate ligament failure. Despite the complexity of posteromedial corner injuries, relying on surgically relevant anatomical landmarks is key for successful surgical reconstruction.
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Coronal Malalignment and Revision Anterior Cruciate Ligament Reconstruction,s valgus deformity is corrected with a distal femoral osteotomy. This chapter will address the relevance of coronal plane malalignment, as well as the technical issues encountered when performing a revision ACL reconstruction and osteotomy in patients with both ACL insufficiency and malalignment.
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Management of the Structurally Intact ACL with Residual Instability,cement resulting in improper graft position/orientation; and (c) additional factors contributing to instability, such as lower extremity malalignment, high tibial slope, meniscal deficiency, and damage to other ligamentous structures. In this chapter, we review the causes, diagnosis, and surgical management of these issues.
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