Outside-In Drilling Allows Avoidance of Two-Stage Surgery in Revision Anterior Cruciate Ligament Reconstruction.

Haidar, Ibrahim M; Billières, Julien; Saithna, Adnan; Rayes, Johnny El; Fradin, Thomas; Ngbilo, Cédric; Vieira, Thais Dutra; Cavaignac, Etienne et al. · Arthrosc Tech · 2021

case_series · Level IV

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Abstract

The presence of preoperative tunnel widening and/or malposition can pose technical challenges for revision anterior cruciate ligament reconstruction. This Technical Note describes the use of outside-in drilling to avoid the need for 2-stage reconstruction in the presence of tunnel widening or semi-anatomic tunnels.