dc.contributor.author | Vindfeld, Søren | |
dc.contributor.author | Lindanger, Line | |
dc.contributor.author | Inderhaug, Eivind | |
dc.date.accessioned | 2024-05-14T14:08:50Z | |
dc.date.available | 2024-05-14T14:08:50Z | |
dc.date.created | 2023-11-28T07:57:23Z | |
dc.date.issued | 2023 | |
dc.identifier.issn | 2635-0254 | |
dc.identifier.uri | https://hdl.handle.net/11250/3130409 | |
dc.description.abstract | Background: Tunnel widening, slightly malplaced former tunnels or bone loss due to hardware removal might prevent a 1-stage anterior cruciate ligament (ACL) revision procedure due to tunnel convergence or challenging graft fixation. A range of graft sources and bone grafting techniques are described—all with their strengths and limitations. Common autograft techniques come with substantial donor site morbidity that might hinder postoperative rehabilitation.
Indications: Graft tunnel issues might prompt the need for structural grafts and a 2-stage ACL revision approach. The use of the current dowel allograft technique gives a flexible approach where 1 or several cylindrical grafts can be placed in prepared sockets for reliable bony ingrowth.
Technique Description: Using femoral head allografts and cannulated coring reamers, multiple bone dowels (up to 6) can give a flexible and adaptable bone grafting situation. The intra-articular tunnels are dilated, and dowels are produced to allow a press-fit fixation that facilitates good bone healing. Removal of sclerotic bone and microfracture is key to allow optimal bone-to-bone healing. Use of cannulas inserted through the arthroscopic portals and tamps plug advancement will give a reliable graft deployment without dowel breakage.
Results: The current authors have used this uniform technique for 119 patients since 2014. All cases displayed good bony healing at 5 months after surgery on computed tomography and radiographs, and 115 out of 119 went on to have a stage 2 revision ACL surgery at 6 months spacing from the bone grafting. The most common reason for not going through the second-stage revision was improvement of symptoms due to graft removal and bone grafting during the first surgery.
Discussion/Conclusion: The current allograft dowel bone grafting allows for a flexible bone grafting in cases where a 1-step ACL revision procedure is not feasible. Reliable bony ingrowth is seen in the current cohort allowing the final step of ACL revision at 6 months spacing from bone grafting. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | SAGE | en_US |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/deed.no | * |
dc.title | Allogenous Bone Grafting Technique for Staged Revision Anterior Cruciate Ligament Surgery | en_US |
dc.type | Journal article | en_US |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | Copyright 2023 the authors | en_US |
dc.source.articlenumber | 26350254231200038 | en_US |
cristin.ispublished | true | |
cristin.fulltext | original | |
dc.identifier.doi | https://doi.org/10.1177/26350254231200038 | |
dc.identifier.cristin | 2203378 | |
dc.source.journal | Video Journal of Sports Medicine | en_US |
dc.identifier.citation | Video Journal of Sports Medicine. 2023, 3 (5), 26350254231200038. | en_US |
dc.source.volume | 3 | en_US |
dc.source.issue | 5 | en_US |