Current Concepts Review: Revision Anterior Cruciate Ligament Reconstruction

George, Michael S.; Dunn, Warren R.; Spindler, Kurt P.

doi:10.1177/0363546506295026

Cited by 275 publications

(225 citation statements)

References 75 publications

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“…Patient education is crucial to carryover the home exercises designed to address knee extension ROM, with the frequency of physical therapy sessions established to maximize early return of full knee extension ROM. It is important to recognize that even a loss of less than 5 degrees of knee extension ROM can lead to long-term patellofemoral pain issues, quadriceps strength deficits and a bent-knee gait abnormality [13,14]. Sample exercises and interventions for improving knee extension ROM are presented in Table 1.…”

Section: Early Post-operative Complicationsmentioning

confidence: 99%

Prevention and Management of Post-operative Complications Following ACL Reconstruction

Eckenrode

Carey

Sennett

et al. 2017

Curr Rev Musculoskelet Med

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Purpose of Review The goal of this paper is to review the current management and prevention of post-operative complications after anterior cruciate ligament (ACL) reconstruction. Trends in rehabilitation techniques will be presented, in addition to suggestions for interventions and expected milestones in ACL reconstruction recovery. Recent Findings ACL reconstruction protocols have evolved to more of a criterion-based progression rather than a tissuehealing time frame. Given the evolution of ACL surgical reconstruction techniques and rehabilitation protocols, the risk of post-operative complications can arise both early and late in the recovery process. This paper will discuss the role of preventative measures as it applies to the post-operative patient with ACL reconstruction. Summary Short-term complications following ACL reconstruction include infection and deficits to knee motion and strength, whereas long-term complications include secondary ACL injury to either the involved or contralateral knee and lack of ability to return to high-level sports following this procedure. Future research should continue to address the multifactorial causes of secondary ACL injury and limited ability of patients to return to high level activities.

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Section: Early Post-operative Complicationsmentioning

confidence: 99%

Prevention and Management of Post-operative Complications Following ACL Reconstruction

Eckenrode

Carey

Sennett

et al. 2017

Curr Rev Musculoskelet Med

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“…1) and detect potential anomalies like elongation, recurrent tears, increased postoperative laxities. These may occur in graft malpositioning [89,90] or graft failures [91]. Numerous studies reported knee laxity measurements at a specific time point after ACL reconstruction.…”

Section: Knee Laxity After Anterior Cruciate Ligament Reconstructionmentioning

confidence: 99%

Objective measurements of static anterior and rotational knee laxity

Mouton

Theisen

Seil

2016

Curr Rev Musculoskelet Med

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Several devices allow to measure anterior and rotational static knee laxity. To date, the use of rotational laxity measurements in the daily clinical practice however remains to be improved. These measurements may be systematically integrated to the follow-up of knee injuries. Physiologic laxity measurements may particularly be of interest for the identification of risk factors in athletes. Furthermore, knee laxity measurements help to improve the diagnosis of knee soft tissue injuries and to follow up reconstructions. Further prospective follow-ups of knee laxity in the injured/reconstructed knees are however required to conclude on the best treatment strategy for knee soft tissue injuries.

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“…A vertical femoral tunnel has been cited as 1 of the most common causes for failure of ACL reconstruction. 12,21,22 Background: There is controversy regarding the necessity of reconstructing both the posterolateral and anteromedial bundles of the anterior cruciate ligament. …”

mentioning

confidence: 99%

Femoral Tunnel Placement in Single-Bundle Anterior Cruciate Ligament Reconstruction

Rue¹,

Ghodadra

Bach

2008

Am J Sports Med

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Current techniques to reconstruct the ACL focus on replacing the native 2-bundle ACL with a single-bundle graft.There is debate regarding the need to reconstruct both the posterolateral (PL) and anteromedial (AM) bundles of the ACL. The controversy has evolved out of the recognition that many surgeons inadvertently create a vertically oriented graft that may not adequately restore either the translational or rotational kinematic properties of an intact knee. A vertical femoral tunnel has been cited as 1 of the most common causes for failure of ACL reconstruction. 12,21,22 Background: There is controversy regarding the necessity of reconstructing both the posterolateral and anteromedial bundles of the anterior cruciate ligament.

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Current Concepts Review: Revision Anterior Cruciate Ligament Reconstruction

Cited by 275 publications

References 75 publications

Prevention and Management of Post-operative Complications Following ACL Reconstruction

Prevention and Management of Post-operative Complications Following ACL Reconstruction

Objective measurements of static anterior and rotational knee laxity

Femoral Tunnel Placement in Single-Bundle Anterior Cruciate Ligament Reconstruction

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