How is ACL Revision Surgery Performed?
In these cases, an ACL revision surgery will probably need to take place. This procedure is more difficult to perform because of the fact that at least one surgery has already failed and that the devices used to fix the first ACL are still in place in the knee.
Dr. Padalecki will assess the knee carefully and will order new X-rays and most likely an MRI to help understand why the initial surgery failed and check to see if there are any anatomical or other factors that put the patient at risk for tears or other predisposed risks. In certain cases a revision ACL reconstruction can be performed immediately using either a graft from the patient (patellar tendon, hamstrings) or a donated graft. This will all depend on the circumstances stemming from the first surgery (i.e. what graft was used, how it was placed, etc.). Dr. Padalecki may decide to perform the revision surgery in stages, especially if the quality of the bone in not strong enough or good from the first surgery. These stages will include a bone grafting procedure to fill the areas with new bone, followed by a revision ACL reconstruction with a graft 4-6 months later.
What Occurs After Revision ACL Surgery?
Patients will be prescribed a very strict and thorough rehabilitation program following revision ACL surgery. After surgery patients will be placed into a brace and will typically use crutches for 2 weeks. Even after therapy has concluded, Dr. Padalecki may recommend that a patient use a functional type brace once they return to activities for the first year.
Is Revision ACL Surgery Successful?
The results of ACL reconstruction are highly successful in terms of restoring function and allowing patients to return to their activities. In cases of a revision reconstruction, the results are also very successful but less so than a primary surgery due to the complexity of the injury and procedure.
For additional information on revision ACL reconstruction as an ACL re-tear treatment, please contact the Austin, Texas office of Dr. Jeff Padalecki, orthopedic knee surgeon.