Abstract: Summary: With the increasing number of primary anterior cruciate ligament (ACL) reconstructions, it must be expected that ACL revision surgery will also become more frequent. The goals of revision ACL reconstruction are equal to primary ACL reconstruction, including stabilization of the knee, prevention of further injury to articular cartilage and menisci, and recovery of knee function. In primary ACL reconstruction, tunnel malplacement and unrecognized associated ligamentous pathologies often are responsible for postoperative graft failure. Thus, preoperative planning begins with detailed analysis of failure mechanisms by thorough preoperative history-taking, comprehensive physical examination, and appropriate radiographic evaluation. Treatment plan addresses issues of hardware removal, need for a staged procedure or concomitant surgery, graft source, tunnel placement, and graft fixation. Successful revision ACL surgery requires a motivated and compliant patient and an experienced surgeon who is proficient in a variety of different surgical techniques, graft sources, and graft fixation techniques. However, because clinical outcome is reported to be worse in revision compared with primary ACL reconstruction, the importance of counseling the patient preoperatively regarding less satisfactory results than in most primary ACL reconstructions must be emphasized. This article provides a summary of indications, surgical techniques, and clinical outcome in single-staged hamstring tendon ACL revision reconstruction.
Publication Year: 2005
Publication Date: 2005-09-01
Language: en
Type: article
Indexed In: ['crossref']
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Cited By Count: 10
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