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Document Title: George-AJSM-Dec06.shtml
Article Title: Clinical Sports Medicine Update: Current Concepts Review: Revision Anterior Cruciate Ligament Reconstruction
Authors: Michael S. George, MD, Warren R. Dunn, MD, MPH and Kurt P. Spindler, MD*
Publication: American Journal of Sports Medicine, Baltimore, Maryland
Date: December 2006
Volume 34, Number 12, pages 2026-2037
Keywords: ACL revision reconstruction, graft failure, surgery, causes of graft failure, mis-placed bone tunnels, surgeon error.
(Reference-denoting numbers appear in the same font and point size as the document text. As with all Knee Library documents, this article is provided in full-text form, complete with all figures and tables.)
Comments: This superb article is a must-read for anyone who has experienced ACL-reconstruction failure and is planning to undergo revision ACL reconstruction.
Brief Table of Contents:
TOP
ABSTRACT
INTRODUCTION
COMPLICATIONS OF ACL RECONSTRUCTION
FAILED ACL RECONSTRUCTION: TRAUMATIC
FAILED ACL RECONSTRUCTION: ATRAUMATIC
PREOPERATIVE EVALUATION
SURGICAL TECHNIQUES
CLINICAL OUTCOMES
CONCLUSIONS
REFERENCES
ABSTRACT
Failed anterior cruciate ligament (ACL) reconstruction presents a difficult clinical challenge. Successful revision ACL reconstruction depends on identifying the causes of failure and correcting technical or diagnostic errors. Failed ACL reconstruction may be either traumatic or atraumatic. Atraumatic failures may be attributable to technical errors, diagnostic errors, or failure of graft incorporation. Published outcomes of revision ACL reconstruction have been worse than for primary ACL reconstruction. The preoperative evaluation, surgical techniques, and clinical outcomes of revision ACL reconstruction are reviewed.
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