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Is ACL surgery possible with Tibial Plat
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.
Answers (6)
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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.
Next Steps
Share x-rays.
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Tunnel placement is prime and should not be compromised at any cost.
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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.
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Can do
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Dr. Pravin Waghmare
Orthopedist
17 yrs exp
Pune
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
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Dr. Mohit Garg
Orthopedist
6 yrs exp
Bathinda
It's not necessary to remove all the hardware
Sometimes we only remove few screws
Next Steps
share your x-ray for more discussion
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Dr. Madhur Mahna
Orthopedist
13 yrs exp
Delhi
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
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.