Technique for Grafting Preexisting Bone Tunnels During the First Stage of Revision Anterior Cruciate Ligament Reconstruction.

Ma, Richard; Hawkins, Samuel D; Caplinger, Gregory D; Temperato, Joseph · Arthrosc Tech · 2025

expert_opinion · Level V

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Abstract

The incidence of revision anterior cruciate ligament reconstruction is increasing. Anticipated convergence of malpositioned tunnels, significant graft tunnel widening, and bone loss are all indications for performing a 2-staged revision reconstruction. The goal of this Technical Note is to describe a simple bone-grafting technique for placing allograft bone matrix into femoral and tibial bone tunnels during the first stage of a 2-stage revision anterior cruciate ligament reconstruction.