{"id":186,"date":"2026-08-30T13:24:15","date_gmt":"2026-08-30T13:24:15","guid":{"rendered":"https:\/\/dryousefmuhammad.com\/revision-acl-reconstruction\/"},"modified":"2026-09-02T18:31:20","modified_gmt":"2026-09-02T18:31:20","slug":"revision-acl-reconstruction","status":"publish","type":"page","link":"https:\/\/dryousefmuhammad.com\/ar\/revision-acl-reconstruction\/","title":{"rendered":"\u0625\u0639\u0627\u062f\u0629 \u0628\u0646\u0627\u0621 \u0627\u0644\u0631\u0628\u0627\u0637 \u0627\u0644\u0635\u0644\u064a\u0628\u064a \u0627\u0644\u0623\u0645\u0627\u0645\u064a (\u0639\u0645\u0644\u064a\u0629 \u0645\u0631\u0627\u062c\u0639\u0629)"},"content":{"rendered":"<section class=\"pr-hero\"><div class=\"pr-grid\"><div class=\"pr-copy\"><div class=\"pr-eyebrow\">\u062f\u0644\u064a\u0644 \u0627\u0644\u0625\u062c\u0631\u0627\u0621<\/div><h1 class=\"pr-title\">Revision ACL <em>\u0625\u0639\u0627\u062f\u0629 \u0627\u0644\u0628\u0646\u0627\u0621<\/em><\/h1><div class=\"pr-sub\">A second chance at a stable knee \u2014 planned in detail.<\/div><p class=\"pr-lede\">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.<\/p><div class=\"acl-actions\"><a class=\"btn-book\" href=\"#book\"><svg viewbox=\"0 0 24 24\"><rect x=\"3.5\" y=\"5\" width=\"17\" height=\"16\" rx=\"2\"><\/rect><path d=\"M3.5 9.5h17M8 3v4M16 3v4\"><\/path><\/svg> \u0627\u062d\u062c\u0632 \u0627\u0633\u062a\u0634\u0627\u0631\u0629<\/a>\n            <a class=\"btn-wa\" href=\"#\" aria-disabled=\"true\" tabindex=\"-1\" data-wa-off=\"\" title=\"\u0648\u0627\u062a\u0633\u0627\u0628 \u063a\u064a\u0631 \u0645\u0641\u0639\u0651\u0644 \u0628\u0639\u062f\"><svg class=\"wa-ic\" viewbox=\"0 0 32 32\"><path d=\"M16 3C9.4 3 4 8.4 4 15c0 2.1.6 4.2 1.6 6L4 29l8.2-1.6c1.7.9 3.7 1.4 5.8 1.4 6.6 0 12-5.4 12-12S22.6 3 16 3zm0 21.8c-1.8 0-3.6-.5-5.1-1.4l-.4-.2-4.9 1 1-4.7-.3-.4C5.5 18 5 16.5 5 15 5 9 10 4 16 4s11 5 11 11-5 9.8-11 9.8zm5.6-7.3c-.3-.2-1.8-.9-2.1-1-.3-.1-.5-.2-.7.2s-.8 1-1 1.2c-.2.2-.4.2-.7.1-.3-.2-1.3-.5-2.4-1.5-.9-.8-1.5-1.8-1.7-2.1-.2-.3 0-.5.1-.7l.5-.6c.2-.2.2-.3.4-.6.1-.2.1-.4 0-.6l-1-2.4c-.3-.6-.5-.5-.7-.5h-.6c-.2 0-.5.1-.8.4-.3.3-1 1-1 2.5s1.1 2.9 1.2 3.1c.2.2 2.2 3.4 5.3 4.7.7.3 1.3.5 1.8.6.7.2 1.4.2 1.9.1.6-.1 1.8-.7 2-1.5.3-.7.3-1.4.2-1.5-.1-.2-.3-.3-.6-.4z\"><\/path><\/svg> \u0631\u0627\u0633\u0644\u0646\u0627 \u0639\u0644\u0649 \u0648\u0627\u062a\u0633\u0627\u0628<\/a><\/div><\/div><a href=\"#learn\" class=\"pr-video\" data-lightbox=\"\" data-title=\"Revision ACL Reconstruction \u2014 3D Animation\" data-dur=\"1:12\"><img decoding=\"async\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/knee.jpg\" alt=\"Revision ACL Reconstruction video placeholder\"><span class=\"pr-play\"><svg viewbox=\"0 0 24 24\"><path d=\"M8 5v14l11-7z\"><\/path><\/svg><\/span><span class=\"pr-chip\"><svg class=\"pc-ic\" viewbox=\"0 0 24 24\"><path d=\"M12 3l8 4.5v9L12 21l-8-4.5v-9L12 3z\"><\/path><path d=\"M12 12l8-4.5M12 12v9M12 12L4 7.5\"><\/path><\/svg><span><b>3D Animation (1:12)<\/b><span>Watch how a revision ACL reconstruction is performed<\/span><\/span><\/span><\/a><aside class=\"pr-doc\"><div class=\"pr-doc-top\"><div><div class=\"pr-doc-name\">\u062f. \u064a\u0648\u0633\u0641<br>\u0645\u062d\u0645\u062f<\/div><div class=\"pr-doc-role\">\u0627\u0633\u062a\u0634\u0627\u0631\u064a \u062c\u0631\u0627\u062d\u0629 \u0627\u0644\u0639\u0638\u0627\u0645 \u062d\u0627\u0635\u0644 \u0639\u0644\u0649 \u0627\u0644\u0628\u0648\u0631\u062f \u0627\u0644\u0623\u0644\u0645\u0627\u0646\u064a <span class=\"flag-de\"><\/span><\/div><\/div><div class=\"pr-doc-thumb\"><img decoding=\"async\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/doctor-cutout.png\" alt=\"Dr. Yousef Muhammad\"><\/div><\/div><ul class=\"pr-doc-list\"><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>\u0627\u0633\u062a\u0634\u0627\u0631\u064a \u062c\u0631\u0627\u062d\u0629 \u0627\u0644\u0639\u0638\u0627\u0645 \u062d\u0627\u0635\u0644 \u0639\u0644\u0649 \u0627\u0644\u0628\u0648\u0631\u062f \u0627\u0644\u0623\u0644\u0645\u0627\u0646\u064a<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>\u062c\u0631\u0627\u062d \u0631\u0643\u0628\u0629 \u0645\u0639\u062a\u0645\u062f \u0645\u0646 DKG<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>\u062c\u0631\u0627\u062d \u062a\u0646\u0638\u064a\u0631 \u0645\u0641\u0627\u0635\u0644 \u0645\u0639\u062a\u0645\u062f \u0645\u0646 AGA<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>\u0637\u0628\u064a\u0628 \u0631\u064a\u0627\u0636\u064a \u0645\u0639\u062a\u0645\u062f \u0645\u0646 GOTS<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>\u062f\u0628\u0644\u0648\u0645 \u0627\u0644\u0641\u064a\u0641\u0627 \u0641\u064a \u0637\u0628 \u0643\u0631\u0629 \u0627\u0644\u0642\u062f\u0645<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>International Experience (Germany &amp; Middle East)<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>\u0631\u0626\u064a\u0633 \u0633\u0627\u0628\u0642 \u0644\u0642\u0633\u0645 \u062c\u0631\u0627\u062d\u0629 \u0627\u0644\u0639\u0638\u0627\u0645 (\u0623\u0644\u0645\u0627\u0646\u064a\u0627)<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>\u0623\u0643\u062b\u0631 \u0645\u0646 \u0661\u0664 \u0639\u0627\u0645\u064b\u0627 \u0645\u0646 \u0627\u0644\u062e\u0628\u0631\u0629<\/span><\/li><\/ul><\/aside><\/div><\/section><section class=\"pr-stats\"><div class=\"pr-stat\"><img decoding=\"async\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/ic-shield.png\" class=\"icon\"><div><strong>17+<\/strong><small>\u0633\u0646\u0648\u0627\u062a \u0645\u0646 \u0627\u0644\u062e\u0628\u0631\u0629 \u0641\u064a \u062c\u0631\u0627\u062d\u0629 \u0627\u0644\u0639\u0638\u0627\u0645<\/small><\/div><\/div><div class=\"pr-stat\"><img decoding=\"async\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/ic-joint.png\" class=\"icon\"><div><strong>10,000+<\/strong><small>SUCCESSFUL PROCEDURES \u00b7 KNEE &amp; SHOULDER<\/small><\/div><\/div><div class=\"pr-stat txt\"><img decoding=\"async\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/ic-cert.png\" class=\"icon\"><div><strong>\u0627\u0644\u0628\u0648\u0631\u062f \u0627\u0644\u0623\u0644\u0645\u0627\u0646\u064a<\/strong><small>\u0627\u0633\u062a\u0634\u0627\u0631\u064a \u062c\u0631\u0627\u062d\u0629 \u0639\u0638\u0627\u0645 \u0645\u0639\u062a\u0645\u062f<\/small><\/div><\/div><div class=\"pr-stat txt\"><img decoding=\"async\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/ic-laurel.png\" class=\"icon\"><div><strong>DKG \u00b7 AGA \u00b7 GOTS<\/strong><small>\u0623\u062e\u0635\u0627\u0626\u064a \u0645\u0639\u062a\u0645\u062f<\/small><\/div><\/div><div class=\"pr-stat txt\"><img decoding=\"async\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/ic-football.png\" class=\"icon\"><div><strong>\u062f\u0628\u0644\u0648\u0645 \u0627\u0644\u0641\u064a\u0641\u0627<\/strong><small>\u0637\u0628 \u0643\u0631\u0629 \u0627\u0644\u0642\u062f\u0645<\/small><\/div><\/div><\/section><section class=\"pr-learn\" id=\"learn\"><div class=\"pr-eyebrow\">\u062a\u0639\u0631\u0651\u0641 \u0639\u0644\u0649 \u0627\u0644\u0625\u062c\u0631\u0627\u0621<\/div><h2 class=\"serif\">\u0634\u0627\u0647\u062f. \u0627\u0641\u0647\u0645. \u0627\u0637\u0645\u0626\u0646.<\/h2><div class=\"pr-learn-grid\"><div class=\"vcard\"><a href=\"#\" class=\"vmedia\" data-lightbox=\"\" data-title=\"Revision ACL Reconstruction \u2014 3D Animation\" data-dur=\"1:12\"><img decoding=\"async\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/knee.jpg\" alt=\"3D animation placeholder\"><span class=\"vplay\"><svg viewbox=\"0 0 24 24\"><path d=\"M8 5v14l11-7z\"><\/path><\/svg><\/span><span class=\"vdur\">1:12<\/span><\/a><h4>Revision ACL Reconstruction \u2014 3D Animation<\/h4><p>\u0634\u0627\u0647\u062f \u0643\u064a\u0641\u064a\u0629 \u0625\u062c\u0631\u0627\u0621 \u0627\u0644\u0639\u0645\u0644\u064a\u0629 \u062e\u0637\u0648\u0629 \u0628\u062e\u0637\u0648\u0629 \u0641\u064a \u0647\u0630\u0627 \u0627\u0644\u0641\u064a\u062f\u064a\u0648 \u0627\u0644\u062a\u0648\u0636\u064a\u062d\u064a.<\/p><\/div><div class=\"vcard\"><a href=\"#\" class=\"vmedia\" data-lightbox=\"\" data-title=\"Revision Technique (Real Footage)\" data-dur=\"1:04\"><img decoding=\"async\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/or-clean.png\" alt=\"Real footage placeholder\"><span class=\"vplay\"><svg viewbox=\"0 0 24 24\"><path d=\"M8 5v14l11-7z\"><\/path><\/svg><\/span><span class=\"vdur\">1:04<\/span><\/a><h4>Revision Technique (Real Footage)<\/h4><p>For medical professionals: the surgical technique of a revision ACL reconstruction, step by step.<\/p><a href=\"#\" class=\"vpro\"><span class=\"dym-lt\">\u0644\u0644\u0623\u0637\u0628\u0627\u0621 \u0648\u0627\u0644\u0645\u062e\u062a\u0635\u064a\u0646<\/span><svg viewbox=\"0 0 24 24\"><path d=\"M5 12h14M13 6l6 6-6 6\"><\/path><\/svg><\/a><\/div><div class=\"vcard\"><a href=\"#\" class=\"vmedia\" data-lightbox=\"\" data-title=\"Recovery After Revision ACL Surgery\" data-dur=\"1:22\"><img decoding=\"async\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/athlete-run.png\" alt=\"Recovery placeholder\"><span class=\"vplay\"><svg viewbox=\"0 0 24 24\"><path d=\"M8 5v14l11-7z\"><\/path><\/svg><\/span><span class=\"vdur\">1:22<\/span><\/a><h4>Recovery After Revision ACL Surgery<\/h4><p>Why revision rehabilitation is slower, and what the return-to-sport milestones look like.<\/p><\/div><div class=\"feat\"><div class=\"frow\"><img decoding=\"async\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/ic-feat-mini.png\"><span class=\"dym-lt\">\u0628\u0627\u0644\u0645\u0646\u0638\u0627\u0631<\/span><\/div><div class=\"frow\"><img decoding=\"async\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/ic-feat-day.png\"><span class=\"dym-lt\">\u0625\u0642\u0627\u0645\u0629 \u0644\u064a\u0644\u0629 \u0648\u0627\u062d\u062f\u0629<\/span><\/div><div class=\"frow\"><img decoding=\"async\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/ic-feat-time.png\"><span class=\"dym-lt\">\u0669\u0660\u2013\u0661\u0662\u0660 \u062f\u0642\u064a\u0642\u0629<\/span><\/div><div class=\"frow\"><img decoding=\"async\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/ic-feat-fast.png\"><span class=\"dym-lt\">Staged if Needed<\/span><\/div><\/div><\/div><div class=\"pr-viewall\"><a href=\"\/ar\/media\/\"><svg viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"9\"><\/circle><path d=\"M10 9l5 3-5 3z\" fill=\"currentColor\" stroke=\"none\"><\/path><\/svg> \u0639\u0631\u0636 \u0643\u0644 \u0627\u0644\u0641\u064a\u062f\u064a\u0648\u0647\u0627\u062a<\/a><\/div><\/section><section class=\"pr-body\"><div class=\"pr-steps\"><h3 class=\"pr-sec-h\">\u062e\u0637\u0648\u0627\u062a \u0627\u0644\u0639\u0645\u0644\u064a\u0629 (\u0646\u0638\u0631\u0629 \u0639\u0627\u0645\u0629)<\/h3><div class=\"steps\"><div class=\"step\"><div class=\"sthumb\"><span class=\"snum\">1<\/span><svg viewbox=\"0 0 24 24\"><path d=\"M6 4v6M6 14v6M18 4v16M6 10c4 0 8 4 12 4\"><\/path><\/svg><\/div><h5>Failure Analysis<\/h5><p>CT and MRI define tunnel position, widening and any missed injury.<\/p><\/div><div class=\"step\"><div class=\"sthumb\"><span class=\"snum\">2<\/span><svg viewbox=\"0 0 24 24\"><path d=\"M12 3v18M7 8l5-5 5 5M7 16l5 5 5-5\"><\/path><\/svg><\/div><h5>Tunnel Management<\/h5><p>Old fixation is removed; tunnels are cleared or bone-grafted.<\/p><\/div><div class=\"step\"><div class=\"sthumb\"><span class=\"snum\">3<\/span><svg viewbox=\"0 0 24 24\"><path d=\"M4 12h16M14 6l6 6-6 6\"><\/path><\/svg><\/div><h5>Graft Selection<\/h5><p>A robust graft is chosen \u2014 often quadriceps, patellar tendon or allograft.<\/p><\/div><div class=\"step\"><div class=\"sthumb\"><span class=\"snum\">4<\/span><svg viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"4\"><\/circle><path d=\"M12 2v4M12 18v4M2 12h4M18 12h4\"><\/path><\/svg><\/div><h5>Anatomical Reconstruction<\/h5><p>New tunnels are placed in the correct anatomical footprint.<\/p><\/div><div class=\"step\"><div class=\"sthumb\"><span class=\"snum\">5<\/span><svg viewbox=\"0 0 24 24\"><path d=\"M4 12.5l5 5 11-11\"><\/path><\/svg><\/div><h5>Additional Procedures<\/h5><p>Meniscus repair, extra-articular tenodesis or osteotomy as required.<\/p><\/div><\/div><\/div><div class=\"pr-time\"><h3 class=\"pr-sec-h\">\u0627\u0644\u062c\u062f\u0648\u0644 \u0627\u0644\u0632\u0645\u0646\u064a \u0644\u0644\u062a\u0639\u0627\u0641\u064a (\u062e\u0637\u0648\u0629 \u0628\u062e\u0637\u0648\u0629)<\/h3><div class=\"tl\"><div class=\"tln\"><span class=\"tdot\"><img decoding=\"async\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/ic-tl-1.png?v=3\" alt=\"\"><\/span><b>\u0627\u0644\u0623\u0633\u0628\u0648\u0639 \u0661\u2013\u0662<\/b><small>Swelling control \u00b7 Protected weight bearing \u00b7 Quadriceps activation<\/small><\/div><div class=\"tln\"><span class=\"tdot\"><img decoding=\"async\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/ic-tl-2.png?v=3\" alt=\"\"><\/span><b>\u0627\u0644\u0623\u0633\u0628\u0648\u0639 \u0663\u2013\u0666<\/b><small>Full range of motion \u00b7 Progressive loading \u00b7 Brace as prescribed<\/small><\/div><div class=\"tln\"><span class=\"tdot\"><img decoding=\"async\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/ic-tl-3.png?v=3\" alt=\"\"><\/span><b>\u0627\u0644\u0623\u0633\u0628\u0648\u0639 \u0666\u2013\u0661\u0662<\/b><small>Strength building \u00b7 Cycling \u00b7 Closed-chain training<\/small><\/div><div class=\"tln\"><span class=\"tdot\"><img decoding=\"async\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/ic-tl-4.png?v=3\" alt=\"\"><\/span><b>\u0627\u0644\u0634\u0647\u0631 \u0664\u2013\u0666<\/b><small>Running progression \u00b7 Change of direction drills<\/small><\/div><div class=\"tln\"><span class=\"tdot\"><img decoding=\"async\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/ic-tl-5.png?v=3\" alt=\"\"><\/span><b>\u0627\u0644\u0634\u0647\u0631 \u0669\u2013\u0661\u0662<\/b><small>Criteria-based return to pivoting sport*<\/small><\/div><\/div><\/div><\/section><section class=\"pr-info\"><div class=\"icard\"><div class=\"ihd\"><svg viewbox=\"0 0 24 24\"><path d=\"M12 3l7 3v5c0 4.5-3 8-7 10-4-2-7-5.5-7-10V6l7-3z\"><\/path><\/svg><span class=\"dym-lt\">\u0646\u0638\u0631\u0629 \u0639\u0627\u0645\u0629<\/span><\/div><p>A failed ACL reconstruction has a reason \u2014 a non-anatomical tunnel, an untreated meniscus or slope problem, rotational instability, or simply a new injury. Revision surgery starts by finding that reason.<\/p><p>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.<\/p><\/div><div class=\"icard\"><div class=\"ihd\"><svg viewbox=\"0 0 24 24\"><path d=\"M9 11l3 3L22 4M21 12v7a2 2 0 0 1-2 2H5a2 2 0 0 1-2-2V5a2 2 0 0 1 2-2h11\"><\/path><\/svg><span class=\"dym-lt\">Is revision ACL reconstruction right for you?<\/span><\/div><ul class=\"chk\"><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>Recurrent instability after a previous ACL reconstruction<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>Graft rupture confirmed on MRI<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>Poorly positioned tunnels or failed fixation<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>Instability combined with meniscus or alignment problems<\/span><\/li><\/ul><a href=\"#book\" class=\"btn primary\"><svg class=\"i\" viewbox=\"0 0 24 24\"><rect x=\"3.5\" y=\"5\" width=\"17\" height=\"16\" rx=\"2\"><\/rect><path d=\"M3.5 9.5h17M8 3v4M16 3v4\"><\/path><\/svg><span class=\"dym-lt\">\u0627\u062d\u062c\u0632 \u0627\u0633\u062a\u0634\u0627\u0631\u0629<\/span><\/a><\/div><div class=\"icard facts\"><div class=\"ihd\"><svg viewbox=\"0 0 24 24\"><path d=\"M9 11l3 3L22 4M21 12v7a2 2 0 0 1-2 2H5a2 2 0 0 1-2-2V5a2 2 0 0 1 2-2h11\"><\/path><\/svg><span class=\"dym-lt\">\u0627\u0644\u0627\u0633\u062a\u0639\u062f\u0627\u062f \u0644\u0644\u0639\u0645\u0644\u064a\u0629<\/span><\/div><ul class=\"tl\"><li><span class=\"tw\">Full imaging work-up<\/span><span class=\"td\">CT for tunnels, MRI for the graft, long-leg X-rays for alignment<\/span><\/li><li><span class=\"tw\">\u0627\u0644\u062a\u0623\u0647\u064a\u0644 \u0642\u0628\u0644 \u0627\u0644\u0639\u0645\u0644\u064a\u0629<\/span><span class=\"td\">Restore full motion and quadriceps strength before surgery<\/span><\/li><li><span class=\"tw\">Staging discussion<\/span><span class=\"td\">We agree together whether one or two stages is safer<\/span><\/li><li><span class=\"tw\">Rehab planning<\/span><span class=\"td\">Book physiotherapy in advance \u2014 revision rehab is longer<\/span><\/li><\/ul><\/div><div class=\"icard qcard\"><div class=\"qbody\"><span class=\"qm\">\u201d<\/span><p>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.<\/p><div class=\"qsig\"><div class=\"nm\">\u062f. \u064a\u0648\u0633\u0641 \u0645\u062d\u0645\u062f<\/div><div class=\"rl\">\u0627\u0633\u062a\u0634\u0627\u0631\u064a \u062c\u0631\u0627\u062d\u0629 \u0627\u0644\u0639\u0638\u0627\u0645<\/div><\/div><\/div><div class=\"qphoto\"><img decoding=\"async\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/doctor-cutout.png\" alt=\"Dr. Yousef Muhammad\"><\/div><\/div><\/section><section class=\"pr-qa faq\"><h2 class=\"sec-h\">Questions &amp; Answers<\/h2><div class=\"faq-grid\"><details><summary><span class=\"dym-lt\">Why did my first ACL fail?<\/span><svg class=\"chev\" viewbox=\"0 0 24 24\"><path d=\"M6 9l6 6 6-6\"><\/path><\/svg><\/summary><div class=\"ans\">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.<\/div><\/details><details><summary><span class=\"dym-lt\">Will I need two operations?<\/span><svg class=\"chev\" viewbox=\"0 0 24 24\"><path d=\"M6 9l6 6 6-6\"><\/path><\/svg><\/summary><div class=\"ans\">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.<\/div><\/details><details><summary><span class=\"dym-lt\">Which graft is used?<\/span><svg class=\"chev\" viewbox=\"0 0 24 24\"><path d=\"M6 9l6 6 6-6\"><\/path><\/svg><\/summary><div class=\"ans\">Usually a stronger graft than the first time \u2014 commonly quadriceps or patellar tendon, sometimes an allograft. The choice depends on what remains available.<\/div><\/details><details><summary><span class=\"dym-lt\">Can I return to competitive sport?<\/span><svg class=\"chev\" viewbox=\"0 0 24 24\"><path d=\"M6 9l6 6 6-6\"><\/path><\/svg><\/summary><div class=\"ans\">Many patients do, though return rates are lower than after a primary reconstruction and the timeline is longer \u2014 typically 9 to 12 months or more.<\/div><\/details><details><summary><span class=\"dym-lt\">Is the recovery different?<\/span><svg class=\"chev\" viewbox=\"0 0 24 24\"><path d=\"M6 9l6 6 6-6\"><\/path><\/svg><\/summary><div class=\"ans\">Yes, it is more cautious. Additional procedures such as meniscus repair or osteotomy also shape the rehabilitation plan.<\/div><\/details><details><summary><span class=\"dym-lt\">\u0645\u0627 \u0647\u064a \u0627\u0644\u0645\u062e\u0627\u0637\u0631\u061f<\/span><svg class=\"chev\" viewbox=\"0 0 24 24\"><path d=\"M6 9l6 6 6-6\"><\/path><\/svg><\/summary><div class=\"ans\">Stiffness, persistent laxity, infection and blood clots. Risks are somewhat higher than in primary surgery, which is why planning is so detailed.<\/div><\/details><\/div><p class=\"disclaimer\">\u0645\u0644\u0627\u062d\u0638\u0629: \u0647\u0630\u0647 \u0627\u0644\u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0644\u0644\u062a\u062b\u0642\u064a\u0641 \u0627\u0644\u0639\u0627\u0645 \u0641\u0642\u0637 \u0648\u0644\u0627 \u062a\u063a\u0646\u064a \u0639\u0646 \u0627\u0633\u062a\u0634\u0627\u0631\u0629 \u0637\u0628\u064a\u0628\u0643.<\/p><\/section><section class=\"pr-appt\" id=\"book\"><div class=\"appt-col\"><svg class=\"appt-ic\" viewbox=\"0 0 24 24\"><rect x=\"3.5\" y=\"5\" width=\"17\" height=\"16\" rx=\"2\"><\/rect><path d=\"M3.5 9.5h17M8 3v4M16 3v4\"><\/path><\/svg><div class=\"tx\"><h4>\u0627\u062d\u062c\u0632 \u0645\u0648\u0639\u062f\u064b\u0627<\/h4><p>\u0627\u062d\u062c\u0632 \u0627\u0633\u062a\u0634\u0627\u0631\u062a\u0643 \u0627\u0644\u064a\u0648\u0645.<\/p><\/div><a href=\"tel:+966115222222\" class=\"go\">\u0627\u062d\u062c\u0632 \u0627\u0644\u0622\u0646<\/a><\/div><div class=\"appt-col\"><svg class=\"appt-ic wa-ic\" viewbox=\"0 0 32 32\"><path d=\"M16 3C9.4 3 4 8.4 4 15c0 2.1.6 4.2 1.6 6L4 29l8.2-1.6c1.7.9 3.7 1.4 5.8 1.4 6.6 0 12-5.4 12-12S22.6 3 16 3zm0 21.8c-1.8 0-3.6-.5-5.1-1.4l-.4-.2-4.9 1 1-4.7-.3-.4C5.5 18 5 16.5 5 15 5 9 10 4 16 4s11 5 11 11-5 9.8-11 9.8zm5.6-7.3c-.3-.2-1.8-.9-2.1-1-.3-.1-.5-.2-.7.2s-.8 1-1 1.2c-.2.2-.4.2-.7.1-.3-.2-1.3-.5-2.4-1.5-.9-.8-1.5-1.8-1.7-2.1-.2-.3 0-.5.1-.7l.5-.6c.2-.2.2-.3.4-.6.1-.2.1-.4 0-.6l-1-2.4c-.3-.6-.5-.5-.7-.5h-.6c-.2 0-.5.1-.8.4-.3.3-1 1-1 2.5s1.1 2.9 1.2 3.1c.2.2 2.2 3.4 5.3 4.7.7.3 1.3.5 1.8.6.7.2 1.4.2 1.9.1.6-.1 1.8-.7 2-1.5.3-.7.3-1.4.2-1.5-.1-.2-.3-.3-.6-.4z\"><\/path><\/svg><div class=\"tx\"><h4>\u0631\u0627\u0633\u0644\u0646\u0627 \u0639\u0644\u0649 \u0648\u0627\u062a\u0633\u0627\u0628<\/h4><p>\u0631\u062f \u0633\u0631\u064a\u0639 \u0639\u0644\u0649 \u0627\u0633\u062a\u0641\u0633\u0627\u0631\u0627\u062a\u0643.<\/p><\/div><a href=\"#\" title=\"\u0648\u0627\u062a\u0633\u0627\u0628 \u063a\u064a\u0631 \u0645\u0641\u0639\u0651\u0644 \u0628\u0639\u062f\" class=\"go\" aria-disabled=\"true\" tabindex=\"-1\" data-wa-off=\"\">\u0627\u0644\u062f\u0631\u062f\u0634\u0629 \u0639\u0628\u0631 \u0648\u0627\u062a\u0633\u0627\u0628<\/a><\/div><div class=\"appt-col\"><svg class=\"appt-ic\" viewbox=\"0 0 24 24\"><path d=\"M12 3l7 3v5c0 4.5-3 8-7 10-4-2-7-5.5-7-10V6l7-3z\"><\/path><path d=\"M9 12l2 2 4-4\"><\/path><\/svg><div class=\"tx\"><h4>\u0631\u0639\u0627\u064a\u0629 \u0645\u0648\u062b\u0648\u0642\u0629. \u0646\u062a\u0627\u0626\u062c \u0645\u062b\u0628\u062a\u0629.<\/h4><p>\u0635\u062d\u062a\u0643 \u0623\u0648\u0644\u0648\u064a\u062a\u064a.<\/p><\/div><\/div><\/section>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":100,"comment_status":"closed","ping_status":"closed","template":"page","meta":{"footnotes":""},"class_list":["post-186","page","type-page","status-publish","hentry"],"_hostinger_reach_plugin_has_subscription_block":false,"_hostinger_reach_plugin_is_elementor":false,"_links":{"self":[{"href":"https:\/\/dryousefmuhammad.com\/ar\/wp-json\/wp\/v2\/pages\/186","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dryousefmuhammad.com\/ar\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dryousefmuhammad.com\/ar\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dryousefmuhammad.com\/ar\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dryousefmuhammad.com\/ar\/wp-json\/wp\/v2\/comments?post=186"}],"version-history":[{"count":6,"href":"https:\/\/dryousefmuhammad.com\/ar\/wp-json\/wp\/v2\/pages\/186\/revisions"}],"predecessor-version":[{"id":649,"href":"https:\/\/dryousefmuhammad.com\/ar\/wp-json\/wp\/v2\/pages\/186\/revisions\/649"}],"wp:attachment":[{"href":"https:\/\/dryousefmuhammad.com\/ar\/wp-json\/wp\/v2\/media?parent=186"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}