Revision Anterior Cruciate Ligament, Lateral Collateral Ligament Reconstruction, and Osteochondral Allograft Transplantation for Complex Knee Instability

Annalise M. Peebles; Phob Ganokroj; Reed L. Macey; Brendan M. Lilley; Matthew T. Provencher

doi:10.1016/j.eats.2022.08.016

Revision Anterior Cruciate Ligament, Lateral Collateral Ligament Reconstruction, and Osteochondral Allograft Transplantation for Complex Knee Instability

Annalise M. Peebles
, Phob Ganokroj
, Reed L. Macey
, Brendan M. Lilley
, Matthew T. Provencher

Department of Orthopedic Surgery and Physical Therapy

The Steadman Philippon Research Institute
Geisel School of Medicine at Dartmouth
Frank H. Netter School of Medicine
The Steadman Clinic

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

Abstract

Anterior cruciate ligament (ACL) injuries rarely occur as an isolated event and often include associated meniscal, subchondral bone, and collateral ligament injuries. Concomitant pathology frequently complicates primary and revision ACL reconstruction and must be addressed to ensure comprehensive diagnosis and treatment. In this Technical Note, we describe our method for treatment of complex knee instability following multiple failed ACL reconstruction using a multiligament reconstruction technique with an osteochondral allograft transplantation to the lateral femoral condyle. This comprehensive repair technique restores the anatomic load bearing forces of the cruciate and collateral ligaments and promotes biological repair through incorporation of cartilage resurfacing to ultimately achieve optimal kinematics of the knee joint.

Original language	English
Pages (from-to)	e2153-e2159
Journal	Arthroscopy Techniques
Volume	11
Issue number	12
DOIs	https://doi.org/10.1016/j.eats.2022.08.016
Publication status	Published - Dec 2022

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title = "Revision Anterior Cruciate Ligament, Lateral Collateral Ligament Reconstruction, and Osteochondral Allograft Transplantation for Complex Knee Instability",

abstract = "Anterior cruciate ligament (ACL) injuries rarely occur as an isolated event and often include associated meniscal, subchondral bone, and collateral ligament injuries. Concomitant pathology frequently complicates primary and revision ACL reconstruction and must be addressed to ensure comprehensive diagnosis and treatment. In this Technical Note, we describe our method for treatment of complex knee instability following multiple failed ACL reconstruction using a multiligament reconstruction technique with an osteochondral allograft transplantation to the lateral femoral condyle. This comprehensive repair technique restores the anatomic load bearing forces of the cruciate and collateral ligaments and promotes biological repair through incorporation of cartilage resurfacing to ultimately achieve optimal kinematics of the knee joint.",

author = "Peebles, \{Annalise M.\} and Phob Ganokroj and Macey, \{Reed L.\} and Lilley, \{Brendan M.\} and Provencher, \{Matthew T.\}",

note = "Publisher Copyright: {\textcopyright} 2022 The Authors",

year = "2022",

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doi = "10.1016/j.eats.2022.08.016",

language = "English",

volume = "11",

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TY - JOUR

T1 - Revision Anterior Cruciate Ligament, Lateral Collateral Ligament Reconstruction, and Osteochondral Allograft Transplantation for Complex Knee Instability

AU - Peebles, Annalise M.

AU - Ganokroj, Phob

AU - Macey, Reed L.

AU - Lilley, Brendan M.

AU - Provencher, Matthew T.

PY - 2022/12

Y1 - 2022/12

N2 - Anterior cruciate ligament (ACL) injuries rarely occur as an isolated event and often include associated meniscal, subchondral bone, and collateral ligament injuries. Concomitant pathology frequently complicates primary and revision ACL reconstruction and must be addressed to ensure comprehensive diagnosis and treatment. In this Technical Note, we describe our method for treatment of complex knee instability following multiple failed ACL reconstruction using a multiligament reconstruction technique with an osteochondral allograft transplantation to the lateral femoral condyle. This comprehensive repair technique restores the anatomic load bearing forces of the cruciate and collateral ligaments and promotes biological repair through incorporation of cartilage resurfacing to ultimately achieve optimal kinematics of the knee joint.

AB - Anterior cruciate ligament (ACL) injuries rarely occur as an isolated event and often include associated meniscal, subchondral bone, and collateral ligament injuries. Concomitant pathology frequently complicates primary and revision ACL reconstruction and must be addressed to ensure comprehensive diagnosis and treatment. In this Technical Note, we describe our method for treatment of complex knee instability following multiple failed ACL reconstruction using a multiligament reconstruction technique with an osteochondral allograft transplantation to the lateral femoral condyle. This comprehensive repair technique restores the anatomic load bearing forces of the cruciate and collateral ligaments and promotes biological repair through incorporation of cartilage resurfacing to ultimately achieve optimal kinematics of the knee joint.

UR - https://www.scopus.com/pages/publications/85149826463

U2 - 10.1016/j.eats.2022.08.016

DO - 10.1016/j.eats.2022.08.016

M3 - Article

AN - SCOPUS:85149826463

SN - 2212-6287

VL - 11

SP - e2153-e2159

JO - Arthroscopy Techniques

JF - Arthroscopy Techniques

IS - 12

ER -

Revision Anterior Cruciate Ligament, Lateral Collateral Ligament Reconstruction, and Osteochondral Allograft Transplantation for Complex Knee Instability

Abstract

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