Anterior cruciate ligament reconstruction tunnel size: causes of tunnel enlargement and implications for single versus two-stage revision reconstruction

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• 作者：Magda Rizer ; Gregory Brian Foremny ; Augustus Rush III ; Adam D. Singer…
• 关键词：Anterior cruciate ligament reconstruction ; Anterior cruciate ligament revision ; Single ; stage revision ; Two ; stage revision ; Radiographic findings ; Tunnel enlargement ; Graft failure
• 刊名：Skeletal Radiology
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：46
• 期：2
• 页码：161-169
• 全文大小：
• 刊物类别：Medicine
• 刊物主题：Imaging / Radiology; Orthopedics; Pathology; Nuclear Medicine;
• 出版者：Springer Berlin Heidelberg
• ISSN：1432-2161
• 卷排序：46

文摘

Anterior cruciate ligament (ACL) reconstructions have increased over the past 25 years. The increased incidence of ACL reconstructions has translated into a larger number of graft failures and revision ACL procedures. It is important to understand the causes of graft failure when evaluating for a revision ACL reconstruction and to appreciate changes in tunnel anatomy over time prior to planning revision surgery. In this manuscript, tunnel size for ACL reconstruction and implications for single-stage versus two-stage revision ACL reconstruction will be discussed, as well as causes of tunnel enlargement, including mechanical and biological factors.