Chapter 5: Techniques For ACL Revision Reconstruction.

Abstract:

:Anterior cruciate ligament (ACL) reconstruction is a commonly performed procedure, with an increasing frequency leading to an increased number of revision procedures. Etiologies for graft rupture are varied and can include technical issues, repeat trauma, and graft choice. The preoperative evaluation before a revision ACL reconstruction should include a detailed history and physical exam, as well as radiographs, magnetic resonance imaging to evaluate graft integrity and for concomitant injuries, as well as computed tomography to measure for bone tunnel osteolysis. Surgical techniques for revision ACL reconstruction include a 1-stage or 2-stage procedure with possible bone grafting and repair of associated injuries. Recent studies show worse clinical outcomes after a revision procedure; however, research continues to emerge with novel techniques and rehabilitation protocols to improve patient outcomes after revision ACL reconstruction.

authors

Kew ME,Miller MD,Werner BC

doi

10.1097/JSA.0000000000000262

subject

Has Abstract

pub_date

2020-06-01 00:00:00

pages

e11-e17

issue

2

eissn

1062-8592

issn

1538-1951

pii

00132585-202006000-00008

journal_volume

28

pub_type

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