دليل الإجراء

Revision ACL إعادة البناء

A second chance at a stable knee — planned in detail.

When a first ACL reconstruction has failed, revision surgery rebuilds the ligament again. It demands more planning: tunnel position, graft choice, alignment and meniscus status all have to be addressed.

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3D Animation (1:12)Watch how a revision ACL reconstruction is performed

17+سنوات من الخبرة في جراحة العظام

10,000+SUCCESSFUL PROCEDURES · KNEE & SHOULDER

البورد الألمانياستشاري جراحة عظام معتمد

DKG · AGA · GOTSأخصائي معتمد

دبلوم الفيفاطب كرة القدم

تعرّف على الإجراء

شاهد. افهم. اطمئن.

1:12

Revision ACL Reconstruction — 3D Animation

شاهد كيفية إجراء العملية خطوة بخطوة في هذا الفيديو التوضيحي.

1:04

Revision Technique (Real Footage)

For medical professionals: the surgical technique of a revision ACL reconstruction, step by step.

للأطباء والمختصين

1:22

Recovery After Revision ACL Surgery

Why revision rehabilitation is slower, and what the return-to-sport milestones look like.

بالمنظار

إقامة ليلة واحدة

٩٠–١٢٠ دقيقة

Staged if Needed

عرض كل الفيديوهات

خطوات العملية (نظرة عامة)

Failure Analysis

CT and MRI define tunnel position, widening and any missed injury.

Tunnel Management

Old fixation is removed; tunnels are cleared or bone-grafted.

Graft Selection

A robust graft is chosen — often quadriceps, patellar tendon or allograft.

Anatomical Reconstruction

New tunnels are placed in the correct anatomical footprint.

Additional Procedures

Meniscus repair, extra-articular tenodesis or osteotomy as required.

الجدول الزمني للتعافي (خطوة بخطوة)

الأسبوع ١–٢Swelling control · Protected weight bearing · Quadriceps activation

الأسبوع ٣–٦Full range of motion · Progressive loading · Brace as prescribed

الأسبوع ٦–١٢Strength building · Cycling · Closed-chain training

الشهر ٤–٦Running progression · Change of direction drills

الشهر ٩–١٢Criteria-based return to pivoting sport*

نظرة عامة

A failed ACL reconstruction has a reason — a non-anatomical tunnel, an untreated meniscus or slope problem, rotational instability, or simply a new injury. Revision surgery starts by finding that reason.

Depending on the findings the surgery is done in one stage, or in two when tunnels first need bone grafting. The added procedures matter as much as the graft itself.

Is revision ACL reconstruction right for you?

Recurrent instability after a previous ACL reconstruction
Graft rupture confirmed on MRI
Poorly positioned tunnels or failed fixation
Instability combined with meniscus or alignment problems

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الاستعداد للعملية

Full imaging work-upCT for tunnels, MRI for the graft, long-leg X-rays for alignment
التأهيل قبل العمليةRestore full motion and quadriceps strength before surgery
Staging discussionWe agree together whether one or two stages is safer
Rehab planningBook physiotherapy in advance — revision rehab is longer

”

Revision surgery is detective work before it is carpentry. If we do not understand why the first graft failed, we simply repeat the mistake. Correct the cause, and the second reconstruction is far more reliable.

د. يوسف محمد

استشاري جراحة العظام

Questions & Answers

Why did my first ACL fail?

Common reasons are tunnel malposition, an untreated meniscus or rotational instability, a steep tibial slope, incomplete rehabilitation, or a genuine new injury. The work-up identifies which applies to you.

Will I need two operations?

Only if the existing tunnels are too wide or badly placed to reuse. Then bone grafting is done first and the reconstruction around six months later.

Which graft is used?

Usually a stronger graft than the first time — commonly quadriceps or patellar tendon, sometimes an allograft. The choice depends on what remains available.

Can I return to competitive sport?

Many patients do, though return rates are lower than after a primary reconstruction and the timeline is longer — typically 9 to 12 months or more.

Is the recovery different?

Yes, it is more cautious. Additional procedures such as meniscus repair or osteotomy also shape the rehabilitation plan.

ما هي المخاطر؟

Stiffness, persistent laxity, infection and blood clots. Risks are somewhat higher than in primary surgery, which is why planning is so detailed.

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