Knee
ACL
Revision
Re-revision ACL reconstruction plus meniscal transplantation in a young patient
When consecutive ACL reconstructions fail in a young, active patient, restoring multi-planar stability presents a major surgical challenge. This complex case explores the clinical and radiological analysis of a double hamstring autograft failure combined with a subtotal meniscectomy.
Larissa, GREECE
Part one
Clinical presentation
- Male 28 years old
Primary surgery:
- 2017 ACL reconstruction
- Hamstrings autograft,
- Failed 6 months later
2nd surgery:
- Revision ACL hamstrings autograft (contralateral side) plus subtotal meniscectomy
- Failed again without significant trauma
- Full ROM,
- Lachman test (+++),
- Pivot shift test(++)
Pre-op x-rays (8/22)
Normal leg alignment
Pre-op MRI
Almost complete absence of medial meniscus
Knee subluxation - Normal tibial slope