Revision anterior cruciate ligament reconstruction: Three- to nine-year follow-up

Grossman, Mark G.; ElAttrache, Neal S.; Shields, Clarence L.; Glousman, Ronald E.

doi:10.1016/j.arthro.2004.12.009

Cited by 135 publications

(153 citation statements)

References 8 publications

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“…Long-term studies have reported a high incidence of joint degeneration (as much as 52% to 56% 12 to 13 years after surgery) [36,42] and an estimated 8% to 10% of ACL reconstructions result in recurrent instability and graft failure [18,23,51]. Furthermore, studies have suggested that the ability of current reconstruction techniques to prevent degenerative changes compared with nonoperative treatment is limited [11,[13][14][15]36].…”

Section: Introductionmentioning

confidence: 99%

Reconstruction Technique Affects Femoral Tunnel Placement in ACL Reconstruction

Kaseta

DeFrate

Charnock

et al. 2008

Clinical Orthopaedics &Amp; Related Research

139

143

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Grafts placed too anteriorly on the femur are reportedly a common cause of failure in anterior cruciate ligament reconstruction. Some studies suggest more anatomic femoral tunnel placement improves kinematics. The ability of the transtibial technique and a tibial tunnel-independent technique (placed transfemorally outside-in) to place the guide pin near the center of the femoral attachment of the anterior cruciate ligament was compared in 12 cadavers. After arthroscopic placement of the guide pins, the femur was dissected and the three-dimensional geometry of the femur, anterior cruciate ligament footprint, and positions of each guide pin were measured. The transtibial guide-pin placement was 7.9 ± 2.2 mm from the center of the footprint (near its anterior border), whereas the independent technique positioned the guide pin 1.9 ± 1.0 mm from the center. The center of the footprint was within 2 mm of an anteroposterior line through the most posterior border of the femoral cartilage in the notch and a proximodistal line through the proximal margin of the cartilage at the capsular reflection. More accurate placement of the femoral tunnel might reduce the incidence of graft failure and might reduce long-term degeneration observed after reconstruction although both would require clinical confirmation.

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Section: Introductionmentioning

confidence: 99%

Reconstruction Technique Affects Femoral Tunnel Placement in ACL Reconstruction

Kaseta

DeFrate

Charnock

et al. 2008

Clinical Orthopaedics &Amp; Related Research

139

143

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“…Improper graft placement, especially on the femur, is believed to be a major cause of failure in current ACL reconstruction techniques [2,5,6,9,14,[19][20][21]. Several anatomic studies showed high variability in location and dimensions of the ACL femoral attachment [4,7,8].…”

Section: Discussionmentioning

confidence: 99%

“…The goal of these procedures is to restore the anatomy and function of the native ACL. Improper graft placement is believed to be a major cause of failure in current ACL reconstruction techniques, with femoral tunnel malposition cited as a common error [2,5,6,9,14,[19][20][21]. The most common technical error is anterior placement of the femoral tunnel, resulting in increased graft tightness in flexion and excessive strain on the graft [5].…”

Section: Introductionmentioning

confidence: 99%

Incidence of the Remnant Femoral Attachment of the Ruptured ACL

Wittstein

Kaseta

Sullivan

et al. 2009

Clinical Orthopaedics &Amp; Related Research

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The presence of remnant tibial and femoral attachments of the ruptured ACL has been described in the literature but the femoral remnant has not been well described as a landmark for tunnel placement during reconstruction. We reviewed operative reports, pictures, and videotapes from 111 ACL reconstructions to determine the incidence of a remnant femoral stump. Patients were divided into two groups: Group A included patients

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“…Consequently, inferior outcomes to primary ACL reconstructions were reported, although significant improvements have been demonstrated after revision reconstruction (10)(11)(12)(13)(14). Of note, most revision ACL constructions were performed using a single-bundle technique (15); however, a vast amount of evidence has demonstrated that the double-bundle technique is superior to the single-bundle technique for primary ACL reconstruction (16)(17)(18)(19)(20)(21)(22)(23)(24).…”

Section: Introductionmentioning

confidence: 99%

Double-bundle revision anterior cruciate ligament reconstruction is effective in rescuing failed primary reconstruction and re-introducing patients to physical exercise

Jiang

Chen

et al. 2017

Exp Ther Med

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Abstract. The anterior cruciate ligament (ACL) is one of a pair of cruciate ligaments in the human knee and is critical for knee stability, as it limits anterior tibial translation on the femur, restrains rotation and resists varus and valgus joint forces. The present study aimed to assess the effect of double-bundle revision anterior cruciate ligament (ACL) reconstruction in improving the subjective and objective functions and re-introducing patients to physical activity after primary ACL reconstruction had failed. A total of 34 patients who underwent double-bundle ACL revision surgeries were included in the present retrospective study. Lysholm, Tegner and IKDC scores as well as KT-2000 arthrometry measures were obtained pre-and post-operatively. The follow-up time was at least 2 years. The results indicated that the IKDC, Lysholm and Tegner scores as well as KT-2000 flexion scores were significantly improved after revision ACL reconstruction. All patients resumed to performing physical exercise activities after revision surgeries, 65% of whom reached pre-injury levels. In conclusion, these results demonstrated that double-bundle revision ACL reconstruction was consistently effective in rescuing failed primary ACL reconstruction and re-introducing patients to physical exercise.

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Revision anterior cruciate ligament reconstruction: Three- to nine-year follow-up

Cited by 135 publications

References 8 publications

Reconstruction Technique Affects Femoral Tunnel Placement in ACL Reconstruction

Reconstruction Technique Affects Femoral Tunnel Placement in ACL Reconstruction

Incidence of the Remnant Femoral Attachment of the Ruptured ACL

Double-bundle revision anterior cruciate ligament reconstruction is effective in rescuing failed primary reconstruction and re-introducing patients to physical exercise

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