ArticleJournal of orthopaedic case reports2025
Single Stage Revision Anterior Cruciate Ligament Reconstruction through Anterolateral Tunnel in a Significantly Widened Tibial Tunnel using Peroneus Longus Tendon Autograft - A Case Report.
Article in Journal of orthopaedic case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Multiple options are available for revising a failed anterior cruciate ligament (ACL) reconstruction. A staged procedure is considered only if there is significant tunnel widening. Here, we present a case of revision ACL reconstruction done in single sitting in spite of a widened tibial tunnel of 15.9 mm through an anterolateral tibial tunnel using a peroneus graft. Case Report: A 39-year-old male manual laborer with post-polio residual paralysis in the opposite leg with past history of trans-portal ACL reconstruction 11 years back using an ipsilateral hamstring graft presented to us with complaints of instability and swelling of the left knee following a slip and fall 2 months back. Magnetic resonance imaging showed a tear in the reconstructed ACL graft with cyclops and tibial tunnel widening of 15.9 mm. The patient underwent single stage revision ACL reconstruction through the anterolateral tibial tunnel using a peroneus longus tendon autograft. At 1 year follow-up, the patient has good knee movements with no signs of instability. Conclusion: Single stage revision ACL reconstruction through the anterolateral tibial tunnel in a case of significantly widened tibial tunnel gives satisfactory results similar to anteromedial tibial tunnel with advantages of not requiring a second surgery, faster recovery, and good bone for the tunnel compared to the previous medial tunnel.
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