J Korean Knee Soc.  2011 Jun;23(2):61-68. 10.5792/jkks.2011.23.2.61.

Revision Anterior Cruciate Ligament Reconstruction

Affiliations
  • 1Department of Orthopedic Surgery, Seoul National University Hospital, Seoul, Korea. leemc@snu.ac.kr

Abstract

As the number of primary reconstructions of the anterior cruciate ligament (ACL) increase, so do the number of revision ACL reconstructions due to failure. Revision ACL reconstruction has several challenges compared to primary ACL reconstruction. Literature review regarding revision ACL reconstruction was performed to discuss the cause of the failure, results of revision, and to assist the decision-making process and approaches to the patients. Usually good functional stability could be obtained after revision ACL reconstruction, but increased incidence of meniscal and cartilage lesions played a role in patient dissatisfaction. To solve issues such as tunnel widening, malposition, and inserted hardware after primary ACL reconstruction, various surgical technique issues were reviewed.

Keyword

Anterior cruciate ligament; Failed ACL reconstruction; Graft failure; Revision ACL reconstruction

MeSH Terms

Anterior Cruciate Ligament
Anterior Cruciate Ligament Reconstruction
Cartilage
Humans
Incidence
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