{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T08:18:19Z","timestamp":1777882699299,"version":"3.51.4"},"reference-count":7,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Video Journal of Sports Medicine"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Anterior cruciate ligament (ACL) reconstruction is a common orthopedic surgery, and due to the increased number of primary reconstructions being performed, the number of revision ACL reconstructions is also increasing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Indications:<\/jats:title>\n                    <jats:p>Two-stage revision ACL reconstruction has lower failure rates compared to 1-stage and is indicated when significant tunnel expansion has occurred or malpositioned tunnels prohibit an adequate reconstruction. In this presentation, 2-stage revision ACL reconstruction was performed with an arthroscopic bone grafting technique of both the femoral and tibial tunnels secondary to tunnel osteolysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Technique Description:<\/jats:title>\n                    <jats:p>Standard diagnostic arthroscopy is performed, and any chondral or meniscal pathology is addressed. The remnant ACL graft and all hardware are removed. The tunnels are debrided thoroughly. Using a modified syringe, the tunnels are packed with a mixture of cancellous bone chips and cortical fibers that have been hydrated with whole blood and platelet-rich plasma (PRP). The patient is placed into a brace postoperatively, and a computed tomography (CT) is obtained approximately 4 to 6 months postoperatively to assess for bone healing. Revision ACL reconstruction is performed once indicated with standard rehabilitation and return to play protocol.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Both 1-stage and 2-stage revision ACL reconstructions have been demonstrated to have significant improvement in outcomes scores preoperatively to postoperatively. However, 2-stage has lower failure rates compared to single-stage and has a high return to level of play.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion\/Conclusion:<\/jats:title>\n                    <jats:p>Revision ACL reconstruction is becoming more commonly performed, and 2-stage revision is frequently required due to multiple factors. In this video, we demonstrate bone grafting for revision ACL reconstruction for tunnel osteolysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient Consent Disclosure Statement:<\/jats:title>\n                    <jats:p>The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26350254231209333","type":"journal-article","created":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T14:36:38Z","timestamp":1698417398000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Two-Stage Revision ACL Reconstruction with Arthroscopic Tunnel Bone Grafting"],"prefix":"10.1177","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4514-2999","authenticated-orcid":false,"given":"Ryan H.","family":"Barnes","sequence":"first","affiliation":[{"name":"Jameson Crane Sports Medicine Institute and Department of Orthopaedics, The Ohio State University, Columbus, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher C.","family":"Kaeding","sequence":"additional","affiliation":[{"name":"Jameson Crane Sports Medicine Institute and Department of Orthopaedics, The Ohio State University, Columbus, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert A.","family":"Magnussen","sequence":"additional","affiliation":[{"name":"Jameson Crane Sports Medicine Institute and Department of Orthopaedics, The Ohio State University, Columbus, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David C.","family":"Flanigan","sequence":"additional","affiliation":[{"name":"Jameson Crane Sports Medicine Institute and Department of Orthopaedics, The Ohio State University, Columbus, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,10,27]]},"reference":[{"key":"bibr1-26350254231209333","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2017.05.010"},{"key":"bibr2-26350254231209333","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2015.10.021"},{"key":"bibr3-26350254231209333","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-017-2704-8"},{"key":"bibr4-26350254231209333","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.RVW.16.00094"},{"key":"bibr5-26350254231209333","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513490277"},{"key":"bibr6-26350254231209333","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517698684"},{"key":"bibr7-26350254231209333","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2022.05.014"}],"container-title":["Video Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26350254231209333","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/26350254231209333","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26350254231209333","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T01:20:20Z","timestamp":1777598420000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/26350254231209333"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9]]},"references-count":7,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["10.1177\/26350254231209333"],"URL":"https:\/\/doi.org\/10.1177\/26350254231209333","relation":{},"ISSN":["2635-0254","2635-0254"],"issn-type":[{"value":"2635-0254","type":"print"},{"value":"2635-0254","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9]]},"article-number":"26350254231209333"}}