Journal article
Revision anterior cruciate ligament reconstruction
Current orthopaedic practice, Vol.21(1), pp.4-10
01/01/2010
DOI: 10.1097/BCO.0b013e3181c6625a
Abstract
Revision anterior cruciate ligament (ACL) surgery is more complex than primary reconstruction. The diagnosis of ACL graft failure can be made with a careful history, physical examination and the use of appropriate imaging studies. The etiology of the failure should be determined and includes tunnel malposition, traumatic failure, failure to treat incompetent secondary stabilizers and malalignment. The preoperative evaluation can identify associated pathology, tunnel malposition or widening and malalignment. The goal of revision surgery is to create anatomic tunnels with secure graft fixation. Two-stage revision with initial bone grafting may be needed if tunnel widening is present. Recent reports describe double-bundle augmentation of a vertical ACL graft. Although good outcomes can be achieved with revision ACL reconstruction, results are generally inferior to primary ACL reconstruction.
Details
- Title: Subtitle
- Revision anterior cruciate ligament reconstruction
- Creators
- Matthew Bollier - Univ Connecticut Hlth Ctr, Farmington, CT USARobert A. Arciero - Univ Connecticut Hlth Ctr, Farmington, CT USA
- Resource Type
- Journal article
- Publication Details
- Current orthopaedic practice, Vol.21(1), pp.4-10
- Publisher
- Lippincott Williams & Wilkins
- DOI
- 10.1097/BCO.0b013e3181c6625a
- ISSN
- 1940-7041
- eISSN
- 1941-7551
- Number of pages
- 7
- Language
- English
- Date published
- 01/01/2010
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984304687102771
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