Anterior Cruciate Ligament Retensioning-A Novel Revision Procedure Using Suture Augmentation: A Case Report With A 3-Year Follow-up.

MedStar author(s):
Citation: Jbjs Case Connector. 10(2):e0092, 2020 Apr-Jun.PMID: 32649083Institution: MedStar Washington Hospital CenterDepartment: MedStar Georgetown Orthopedic Institute, Washington Hospital Center | Orthopedic Surgery | Surgery/Orthopaedic SurgeryForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Anterior Cruciate Ligament Reconstruction/mt [Methods] | *Reoperation/mt [Methods] | *Tibial Meniscus Injuries/su [Surgery] | Adult | Female | HumansYear: 2020ISSN:
  • 2160-3251
Name of journal: JBJS case connectorAbstract: CASE: We report the case of a 44-year-old woman with previous anterior cruciate ligament (ACL) reconstruction 25 years ago in the right knee, who sustained a bucket-handle medial meniscus tear after pain and instability while pivoting during tennis. Magnetic resonance imaging demonstrated an intact but vertical and anterior ACL graft. A novel ACL retensioning procedure with suture augmentation (SA) was performed as the revision procedure. Excellent clinical outcomes and knee stability were obtained at both 17 and 36 months postoperatively.CONCLUSIONS: In certain cases, ACL retensioning with SA may be performed as the revision procedure for unsuccessful primary ACL reconstruction.All authors: Argintar EH, Bodendorfer BM, Day J, Shu HTOriginally published: Jbjs Case Connector. 10(2):e0092, 2020 Apr-Jun.Fiscal year: FY2020Digital Object Identifier: Date added to catalog: 2020-09-02
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Journal Article MedStar Authors Catalog Article 32649083 Available 32649083

CASE: We report the case of a 44-year-old woman with previous anterior cruciate ligament (ACL) reconstruction 25 years ago in the right knee, who sustained a bucket-handle medial meniscus tear after pain and instability while pivoting during tennis. Magnetic resonance imaging demonstrated an intact but vertical and anterior ACL graft. A novel ACL retensioning procedure with suture augmentation (SA) was performed as the revision procedure. Excellent clinical outcomes and knee stability were obtained at both 17 and 36 months postoperatively.

CONCLUSIONS: In certain cases, ACL retensioning with SA may be performed as the revision procedure for unsuccessful primary ACL reconstruction.

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