Revision ACL Reconstruction

It is estimated that between 1.8% and 10.4% of patients who undergo an ACL reconstruction will require a revision.1 Restoring a previously malpositioned ACL tunnel or widened tunnels can be challenging, sometimes requiring a two-stage approach.2 The Cannulated Bone Dowel Kit offers surgeons a simplified solution to effectively address these issues. Allograft bone dowels act as a biologic scaffold to provide an immediate structural architecture and promote osseous integration. The bone dowels can be soaked in platelet-rich plasma (PRP) or bone marrow concentrate to provide autologous cells and growth factors that facilitate graft incorporation.

Additionally, press-fit nature and structural integrity of the bone dowels provides surgeons the option to take a single-stage approach in cases where no more than half of the failed tunnel is violated. Favorable outcomes have been reported for patients undergoing single-stage ACL reconstruction using allograft bone dowels.3

Along with allograft bone dowels, the FlipCutter® III drill is particularly advantageous in setting a revision ACL reconstruction. The all-in-one adjustable guide pin and reamer allows surgeons to precisely debride remnant tissue and maximize residual bone stock during tunnel preparation.

References

1. MARS Group, Ding DY, Zhang AL, et al. Subsequent surgery after revision anterior cruciate ligament reconstruction: rates and risk factors from a multicenter cohort. Am J Sports Med. 2017;45(9):2068-2076. doi:10.1177/0363546517707207

2. Richter DL, Werner BC, Miller MD. Surgical pearls in revision anterior cruciate ligament surgery. when must I stage? Clin Sports Med. 2017;36(1):173-187. doi:10.1016/j.csm.2016.08.008

3. Werner BC, Gilmore CJ, Hamann JC, et al. Revision anterior cruciate ligament reconstruction: results of a single-stage approach using allograft dowel bone grafting for femoral defects. J Am Acad Orthop Surg. 2016;24(8):581-587. doi:10.5435/JAAOS-D-15-00572

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It is estimated that between 1.8% and 10.4% of patients who undergo an ACL reconstruction will require a revision.1 Restoring a previously malpositioned ACL tunnel or widened tunnels can be challenging, sometimes requiring a two-stage approach.2 The Cannulated Bone Dowel Kit offers surgeons a simplified solution to effectively address these issues. Allograft bone dowels act as a biologic scaffold to provide an immediate structural architecture and promote osseous integration. The bone dowels can be soaked in platelet-rich plasma (PRP) or bone marrow concentrate to provide autologous cells and growth factors that facilitate graft incorporation.

Additionally, press-fit nature and structural integrity of the bone dowels provides surgeons the option to take a single-stage approach in cases where no more than half of the failed tunnel is violated. Favorable outcomes have been reported for patients undergoing single-stage ACL reconstruction using allograft bone dowels.3

Along with allograft bone dowels, the FlipCutter® III drill is particularly advantageous in setting a revision ACL reconstruction. The all-in-one adjustable guide pin and reamer allows surgeons to precisely debride remnant tissue and maximize residual bone stock during tunnel preparation.

References

1. MARS Group, Ding DY, Zhang AL, et al. Subsequent surgery after revision anterior cruciate ligament reconstruction: rates and risk factors from a multicenter cohort. Am J Sports Med. 2017;45(9):2068-2076. doi:10.1177/0363546517707207

2. Richter DL, Werner BC, Miller MD. Surgical pearls in revision anterior cruciate ligament surgery. when must I stage? Clin Sports Med. 2017;36(1):173-187. doi:10.1016/j.csm.2016.08.008

3. Werner BC, Gilmore CJ, Hamann JC, et al. Revision anterior cruciate ligament reconstruction: results of a single-stage approach using allograft dowel bone grafting for femoral defects. J Am Acad Orthop Surg. 2016;24(8):581-587. doi:10.5435/JAAOS-D-15-00572

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Revision ACL With Cannulated Bone Dowels and FastThread™ BioComposite Interference Screws

Mark D. Miller, MD
Videos de técnicas quirúrgicas | 13:15 | English | 05/16/2019 | VID1-000075-en-US A

Alternative ACL Graft Options: Quadriceps Tendon

J. Lee Pace, MD
Video presentaciones | 12:03 | English | 05/29/2020 | VID1-000945-en-US A
Two-Stage Revision ACL Reconstruction
Two-Stage Revision ACL Reconstruction
Seth L. Sherman, MD
Video presentaciones de casos | 10:52 | English | 04/04/2024 | VID1-005892-en-US A
Revision ACL Reconstruction Using the FlipCutter® III Reamer
Revision ACL Reconstruction Using the FlipCutter® III Reamer
Walter R. Lowe, MD
Video presentaciones de casos | 02:39 | English | 10/21/2020 | VID1-000692-en-US B
Bone Dowel Revision Kit
Bone Dowel Revision Kit
Guías de técnicas quirúrgicas | English | 07/22/2019 | LT1-000013-en-US A
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Videos de técnicas quirúrgicas (2)

Revision ACL With Cannulated Bone Dowels and FastThread™ BioComposite Interference Screws
Revision ACL With Cannulated Bone Dowels and FastThread™ BioComposite Interference Screws
Mark D. Miller, MD
13:15 | English | 05/16/2019 | VID1-000075-en-US A
Revision ACL Femoral Tunnel Fill With AlloSync™ Pure Demineralized Bone Matrix
Revision ACL Femoral Tunnel Fill With AlloSync™ Pure Demineralized Bone Matrix
James L. Chen, MD
04:00 | English | 02/21/2019 | VID1-00371-EN_A A

Guías de técnicas quirúrgicas (1)

Bone Dowel Revision Kit
Bone Dowel Revision Kit
English | 07/22/2019 | LT1-000013-en-US A

Catalogs (2)

Orthobiologics - Next Generation in Biologics Technology
Orthobiologics - Next Generation in Biologics Technology
English | 07/02/2024 | LB1-0804-en-US Q
Knee Next Generation in Repair and Reconstruction | 2022
Knee Next Generation in Repair and Reconstruction | 2022
English | 05/18/2022 | LB1-0115-en-US AB

Video presentaciones (1)

Alternative ACL Graft Options: Quadriceps Tendon
Alternative ACL Graft Options: Quadriceps Tendon
J. Lee Pace, MD
12:03 | English | 05/29/2020 | VID1-000945-en-US A

Video presentaciones de casos (3)

Two-Stage Revision ACL Reconstruction
Two-Stage Revision ACL Reconstruction
Seth L. Sherman, MD
10:52 | English | 04/04/2024 | VID1-005892-en-US A
Revision ACL Reconstruction Using the FlipCutter® III Reamer
Revision ACL Reconstruction Using the FlipCutter® III Reamer
Walter R. Lowe, MD
02:39 | English | 10/21/2020 | VID1-000692-en-US B
Revision ACL Reconstruction Using the FlipCutter® III Drill
Revision ACL Reconstruction Using the FlipCutter® III Drill
J. Lee Pace, MD
04:21 | English | 09/02/2020 | VID1-000747-en-US B

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