Revision anterior cruciate ligament reconstruction
| Autor: | Paul M. Inclan, Robert H. Brophy |
|---|---|
| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | The Bone & Joint Journal. :474-480 |
| ISSN: | 2049-4408 2049-4394 |
| DOI: | 10.1302/0301-620x.105b5.bjj-2022-1064.r1 |
| Popis: | Anterior cruciate ligament (ACL) graft failure from rupture, attenuation, or malposition may cause recurrent subjective instability and objective laxity, and occurs in 3% to 22% of ACL reconstruction (ACLr) procedures. Revision ACLr is often indicated to restore knee stability, improve knee function, and facilitate return to cutting and pivoting activities. Prior to reconstruction, a thorough clinical and diagnostic evaluation is required to identify factors that may have predisposed an individual to recurrent ACL injury, appreciate concurrent intra-articular pathology, and select the optimal graft for revision reconstruction. Single-stage revision can be successful, although a staged approach may be used when optimal tunnel placement is not possible due to the position and/or widening of previous tunnels. Revision ACLr often involves concomitant procedures such as meniscal/chondral treatment, lateral extra-articular augmentation, and/or osteotomy. Although revision ACLr reliably restores knee stability and function, clinical outcomes and reoperation rates are worse than for primary ACLr.Cite this article: Bone Joint J 2023;105-B(5):474–480. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|