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hi Iamp;#39;m Dr Seth Sherman from Stanford University and this is a case presentation evaluating two-stage revision ACL reconstruction the patientamp;#39;s a 37-year-old female sheamp;#39;s a recreational athlete she had a non- contct ACL injury she underwent a primary ACL allograph reconstruction with partial menisectomy at an outside hospital she had Insidious recurrent instability and pain beginning a year and a half later prior to presentation in my office while seeing me she had range of motion that was 10- 0-140 so 10 of hyperextension which was symmetric she had a 2B lochman and what we call an explosive grade three pivot shift she was stable and symmetric to Varys and valgus stress her dial test was symmetric and her opposite knee had a physiologic pivot Glide with an intact ACL on her pre-operative x-rays that are weight Ing we can see that thereamp;#39;s no docHub joint space narrowing thereamp;#39;s concern for docHub cystic changes in both her tibial and he
