Is ACL surgery possible with Tibial Plat

2018-09-16 09:07:56
Hi, I had a tibial plateau surgery and have a Tibia plate fixation. Now I'm told that my ACL is torn and surgery is needed. Do I need to get my hardware removed for ACL surgery or I can get it done without hardware removal also? I'm worried, if I can get my ACL done without hardware removal, it will be better and time saving. Otherwise I need to undergo two surgeries at two different times.
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If your screw position interfere with tibial tunnel...the plate should be removed as the tunnel placement should not be compromised . This can be decided and predicted preoperatively on x-rays/CT.
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Share x-rays.
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Tunnel placement is prime and should not be compromised at any cost.

Answered2018-09-16 16:38:43

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Hardware removal is not necessary for acl reconstruction.. If you want to remove the plate and do the acl reconstruction it can be done in a single stage and does not require two surgeries.

Answered2018-09-16 16:25:48

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Can do

Answered2018-09-16 16:24:09

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We can do ACL surgery without removing plate ; if plate fixation done for lateral tibial plateau fracture . Some interfering screws might have to be remove for proper tibial tunnel placement.
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needs recent x rays of knees

Answered2018-09-17 10:27:01

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It's not necessary to remove all the hardware Sometimes we only remove few screws
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share your x-ray for more discussion

Answered2018-09-16 16:47:12

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Removal of plate is not required for ACL reconstruction. However if sufficient time has passed, and bone has united, it is advisable to get it removed along with acl reconstruction

Answered2018-09-16 16:22:31

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