India Hospital Tour by We Care India Medical tourism Company Surgery and Treatment in India by We Care India, Mumbai, Delhi, Chennai, Bangalore Surgery and Treatment in India at Low Cost JCI / ISO accredited hospital and experienced surgeon advantages
Medical tourism by We Care India for Low Cost Surgery and Treatment  at Hospitals in India your healthcare is now our concerns
Call: +91 9029304141 (10 am. To 8 pm. IST)
Post an EnquiryMedical Quote, Free No Obligation for Medical tourism Patients in India( Preferred )
(Only for international patients seeking treatment in India)
Only in India Hospital Tour
     
Treatment & Surgery
Orthopedic Surgery
Arthroscopy
ACL Reconstruction
Arthrodesis
Arthroscopic Debridement    Of Septic Arthritis
Arthroscopic Lateral    Release
Arthroscopic Menisectomy
Autologus Cartilage Cell    Transplant
High Tibial Osteotomy
Patello Femoral    Replacement
PCL Reconstruction
Meniscal Repair
Mosaicplasty
Lower Femoral Osteotomy
Revision ACL    Reconstruction
Elbow Replacement
Hip Replacement
Hip Resurfacing
Knee Replacement
Shoulder Replacement
Sports Injury Surgery
Cost Guide
Orthopedic Hospitals
Orthopedic Doctors
 

Revision ACL Reconstruction

Bookmark and Share Go Back Print This Page Add to Favorites
|
Home > Orthopedic Surgery > Arthroscopy > Revision ACL Reconstruction

Overview

Revision ACL Surgery


After you have an ACL reconstruction you lead a normal injury free return to all activities. It is an unfortunate fact that sometimes even after you have your ACL reconstructed, that you can do something to re-injure the ligament and require another reconstructive surgery.

Many times if you re-injure your ACL, another reconstruction is needed. If this is the case, well over 50% of the time the reconstruction requires two surgeries. The first surgery requires doctor to remove the old screws from the tunnels (figure 1), repair any damage that occurred to the other structures of the knee and to use donor bone plugs (figure 3) to graft into the tunnels (figure 2). After a sufficient period of time to allow for proper healing of the bone grafting, Doctor will then perform the second phase of the reconstruction. This surgery consists of drilling new tunnels and then reconstructing the ACL again.

In a few cases the doctor is able to remove the hardware and use those tunnels to reconstruct the ACL. This is not a common occurrence since the stresses that tear the ligament also tend to widen out the tunnels. If the tunnels are too big, there is no way to secure the new graft properly and bone grafting will be required.

There will be a period of rehabilitation required after each surgery. Once the ACL reconstruction has been completed, another full course of rehabilitation to strengthen the knee will once again be required.
Anterior Cruciate Ligament, ACL Reconstruction Surgery, ACL
Figure 1 : - Hardware Removal

Revision ACL Reconstruction Surgery, ACL Reconstruction Surgery, Ligament Reconstruction                ACL Reconstruction Surgery, ACL, Anterior Cruciate, Ligament Reconstruction

            Figure 2 : - Old Tunnel                         Figure 3 : - Bone Plug


Causes of Failure of ACL Reconstruction


  • Incorrect Technique
  • Incorrect tunnel Placement
  • Graft fixed in lax position
  • Synthetics
  • Failure of Graft Incorporation
  • Host Factors
  • Missed Associated Instabilities
  • Re-Injury
^ Back to Top


Steps in Planning ACL Revision : -
  • Determine the cause of Failure
  • Choose the appropriate graft
  • Autograft
    1. Quadriceps tendon
    2. Patellar tendon - same or opposite side
    3. Semi-t opposite side
  • Allograft
    1. Patellar tendon
    2. Achilles tendon
  • synthetic
  • Plan the hardware removal
  • Plan tunnel placement
  • Large tunnel


Revision anterior cruciate ligament (ACL) reconstruction is indicated for selected patients with recurrent instability after a failed primary procedure. The cause of the failure must be carefully identified to avoid pitfalls that may cause the revision to fail as well. Associated instability patterns must be recognized and corrected to achieve a successful result. The choice of graft, the problem of retained hardware, and tunnel placement are the major challenges of revision ACL reconstruction.

The patient must have reasonable expectations and understand that the primary goal of surgery is restoration of the ability to perform activities of daily living, rather than a return to competitive athletics. The results of revision ACL reconstructions are not as good as those after primary reconstructions; however, the procedure appears to be beneficial for most patients.


The list of of Orthopedic Surgery in India is as follows : -


Apollo Hospitals Bangalore Apollo Hospitals, Bangalore, India
Apollo Hospital Chennai Apollo Hospital, Chennai, India
Apollo Hospitals Hyderabad Apollo Hospitals, Hyderabad, India
Apollo Hospitals Delhi Indraprastha Apollo Hospital, Delhi, India
Apollo Hospitals Kolkata Apollo Gleneagles Hospital, Kolkata, India
Apollo Hospital, Goa, India Apollo Hospital, Goa, India
Wockhardt Hospital Bangalore India Wockhardt Hospital, Bangalore India
Wockhardt Hospital Mumbai, India Wockhardt Hospital, Mumbai, India
Fortis Hospital, Delhi, India Fortis Hospital, Delhi, India
Fortis Hospital Mohali, India Fortis Hospital, Mohali, India
Fortis Hospital Noida, India Fortis Hospital, Noida, India
Manipal Hospital, Bangalore, India Manipal Hospital, Bangalore, India
MIOT Hospital, Chennai, India MIOT Hospital, Chennai, India
Sparsh Hospital, Bangalore, India Sparsh Hospital, Bangalore, India
Sparsh Hospital, Bangalore, India Sparsh Hospital, Bangalore, India
Artemis Hospital, Gurgaon ( Delhi ) , India Artemis Hospital, Gurgaon ( Delhi ) , India
Max Devki Devi Heart and Vascular  hospital,  Delhi, India Max Devki Devi Heart and Vascular hospital, Delhi, India
BGS Global Hospital Bangalore, India BGS Global Hospital, Bangalore, India
BGS Global Hospital Chennai, India BGS Global Hospital, Chennai, India
BGS Global Hospital Hyderabad, India BGS Global Hospital, Hyderabad, India



^ Back to Top

For more information, medical assessment and medical quote send your detailed medical history and medical reports
as email attachment to
Email : - info@wecareindia.com
Call: +91 9029304141 (10 am. To 8 pm. IST)
(Only for international patients seeking treatment in India)

 
Send Response
 

Gender : Age :




  

For a detailed evaluation send patient’s medical reports / X rays / doctors notes to info@wecareindia.com
 
Patient Story

Patient Storys

Successful heart surgery at We Care India partner hospital allows Robert Clarke to live a normal life despite a rare genetic disorder We Care india helped Robert find best super specialised surgeon for his rare conditions.

Read    : Robert's Story
See All : Patient's Success Stories

Related Link

Group Websites


Find us on

 
Medical Tourism Search Information For Professionals Resources
Hospitals By :

 

 
 
Neurosurgery, Brain Surgery, Epilepsy Surgery, Brain Tumor Surgery in India

SSL Certificate
Neurosurgery, Heart surgery, Brain Surgery , Brain Tumor Surgery in India
   
 

Copyright © 2009 - 2010 We Care India. All Rights Reserved.
Home | About Us | Site Map | Get a Quote | Disclaimer | Advertise With Us | Contact Us

 

Revision ACL Reconstruction Surgery, Anterior Cruciate Ligament, ACL Reconstruction Surgery, ACL, Anterior Cruciate, Ligament Reconstruction, Arthroscopy, Revision ACL Reconstruction Surgery India, Knee Pain, Knee Surgery, India Hospital Tour, Revision ACL Reconstruction Treatment India, ACL Reconstruction, Injury Free, Reconstructive Surgery, ACL Surgery In India, Anterior Cruciate Ligament Injury, ACL Injury Surgery, ACL Repair, Hospitals Of ACL Revision