Any takers on management and technique
My options given to the patient.
1. Scope remove the intra articular screw ASAP and do a revision ACL. However I warned him that in case of severe OA one might consider not doing an ACL. One could envsage problems only with the tibial tunnel screw. I plan to the tibial tunnel entry more medial exiting at ht lateral half of the medial tibail spine. Femoral tunnel isnt a problem as the previous tunnel is vertical.
Post op pics are below. The screw had damaged the medail edge of the lat femoral condyle adjacent to the notch( Like a wide notch plasty)
