Tunnel Management in Revision Anterior Cruciate Ligament Reconstruction: Current Concepts

Bone tunnel-related complications are frequently encountered during revision anterior cruciate ligament reconstruction (ACLR). Issues with tunnel positioning, enlargement, containment, and hardware interference may complicate surgery and compromise outcomes. As a result, several strategies have emerged to address these issues and optimize results. However, a systematic, unified approach to tunnel pathology in revision ACLR is lacking. The purpose of this review is to highlight the current state of the literature on bone tunnel complications and, although extensive literature on the subject is lacking, present an updated approach to the evaluation and management of tunnel-related issues in revision ACLR.

Automated summary

Bone tunnel-related complications are common in revision ACLR surgeries, and issues such as tunnel positioning, enlargement, containment, and hardware interference can impact the outcomes. However, there is a lack of a systematic approach to address tunnel-related issues. This review aims to highlight the current literature and present an updated approach to evaluate and manage these complications.