Revision Anterior Cruciate Ligament Reconstruction

Author:

Kamath Ganesh V.1,Redfern John C.2,Greis Patrick E.3,Burks Robert T.3

Affiliation:

1. Department of Orthopaedic Surgery, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

2. Colorado Springs Orthopaedic Group, Colorado Springs, Colorado.

3. Department of Orthopaedic Surgery, University of Utah, Salt Lake City, Utah.

Abstract

Revision reconstruction of the anterior cruciate ligament (ACL) introduces several diagnostic and technical challenges in comparison with primary ACL reconstruction. With the increasing numbers of original reconstructions combined with the continued expectation of high-level athletic participation, revision ACL reconstruction is likely to become more frequent. The purpose of this article was to summarize the causes of failure and the evaluation of the patient with recurrent instability. A review of the literature regarding results after revision ACL reconstruction was performed to assist in the decision-making process and patient counseling. Good results can be obtained in terms of functional stability after revision reconstruction, but chondral and meniscal injury as well as unrecognized associated pathologic instability may play a role in diminished outcomes. In addition, a wide variety of surgical techniques are reviewed to address problems associated with tunnel malposition, widening, and pre-existing hardware.

Publisher

SAGE Publications

Subject

Physical Therapy, Sports Therapy and Rehabilitation,Orthopedics and Sports Medicine

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