Revision ACL Reconstruction
A complex arthroscopic procedure to replace a failed ACL graft and restore knee stability — when a previous reconstruction has not healed correctly or the graft has re-torn.
What is Revision ACL Reconstruction?
Revision ACL reconstruction is performed when a previous ACL reconstruction fails — due to graft failure, reinjury, tunnel malposition, or incomplete healing — leaving the patient with persistent knee instability, pain, and difficulty with daily activities or sport. This procedure is significantly more complex than primary reconstruction. It requires careful pre-operative planning, imaging analysis of the previous tunnels, and selection of the most appropriate new graft source to give the patient the best chance of a lasting result.
How the Procedure Works
Pre-operative Assessment
MRI and CT scans assess the failed graft, tunnel positions, bone stock, and any associated cartilage or meniscus damage; graft selection and surgical approach are planned accordingly.
Anaesthesia & Arthroscopic Access
Regional or general anaesthesia is administered; small keyhole incisions allow insertion of the arthroscope for a clear, magnified view of all joint structures.
Removal of Failed Graft
The damaged graft is identified and removed; previous tunnel placement and bone stock are carefully evaluated to determine whether tunnel correction or bone grafting is needed.
Tunnel Preparation
Malpositioned or widened tunnels are corrected or reconstructed to allow accurate anatomic placement of the new ligament graft.
New Graft Placement & Fixation
A new tendon graft — hamstring, patellar tendon, or donor source — is inserted through correctly positioned femoral and tibial tunnels and secured with surgical screws.
Inspection & Wound Closure
Stability and smooth joint motion are confirmed; instruments are removed, incisions are closed with sutures, and the knee is supported in a brace for early healing.
Outcomes
Who Needs This Treatment?
- →Corrects failed graft, mispositioned tunnels, or re-torn ACL from previous surgery
- →Restores knee stability and confidence during daily activity and sport
- →Minimally invasive arthroscopic approach — smaller incisions, less tissue disruption
- →Carefully planned graft selection tailored to individual anatomy and demands
- →Prevents progressive cartilage and meniscus damage from ongoing instability
- →Structured rehabilitation programme guides safe return to full activity
“Revision ACL surgery requires a thorough understanding of why the first procedure failed. Every case is unique — meticulous pre-operative planning, precise tunnel positioning, and structured rehabilitation are all essential to give the patient the best possible outcome.”
— Dr. Satish Reddy Gandavarapu, Senior Orthopaedic & Trauma Surgeon, Lux Hospitals, Hyderabad
Common Questions
Frequently Asked
Not sure which treatment is right for you?
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