Revision ACL Reconstruction: Indications and Technique

Bach, Bernard R.

doi:10.1016/b978-0-7216-0013-0.50069-7

Cited by 7 publications

(4 citation statements)

References 29 publications

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“…Over the last three decades, all of the structures of the knee joint are more frequently injured, as well as ACL. The higher increase of injuries is the result of increased involvement of modern men in sports, both professional and amateur [1,17,18].…”

Section: Discussionmentioning

confidence: 99%

“…The main goals of the surgery are to remove the symptoms, gain full knee stability throughout the movement, and return to the previous level of sports activities. This is achieved in 75 -90% of operated patients [1,2,22]. Immediately after surgery, instead of immobilization, it begins with early, controlled knee joint movements.…”

Section: Discussionmentioning

confidence: 99%

“…Anterior cruciate ligament (ACL) reconstruction is an effective surgical procedure with 75% to 90% of patients reporting good or excellent outcomes [1,2]. Complications after ACL reconstruction are rare, but with the increase in the number of reconstructions, their number is also increasing.…”

Section: Introductionmentioning

confidence: 99%

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Cyclops syndrome - A complication after anterior cruciate ligament reconstruction

Ristić¹,

Ilić²,

Bjelobrk³

et al. 2019

Med pregl

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Introduction. Cyclops syndrome is one of the causes of failure of anterior cruciate ligament reconstruction. The aim of the study was to examine the quality of life of patients who had this complication and its consequences till the return to unrestricted (sports) activities. Material and Methods. During an eighteen-year follow-up of 4330 patients, cyclops syndrome was found in 71 patients (1.64%). This study included 60 of them, who agreed to fill out a questionnaire and functional scoring scales. Results and Discussion. The mean Tegner score was 5.95 and Lysholm score was 86.13 points. After the arthroscopic removal of cyclops lesion, excellent results were found in 22 patients (36.7%), good in 19 (31.7%), poor in 16 (26.7%) and very poor in three cases (5%). On average, athletes lose 10 months from injury to anterior cruciate ligament reconstruction. It takes at least 6 months to return to competitive sports. If cyclops lesion occurs, it takes approximately 10 months to arthroscopy, and on average 3 months of postoperative recovery. Conclusion. Cyclops lesion is a complication that significantly compromises the outcome of anterior cruciate ligament reconstruction, in terms of functional scores, subjective symptoms, the intensity of sports activities, and quality of life. Arthroscopic removal of the cyclops lesion leads to satisfactory postoperative results, but athletes lose 2.5 years on the whole, from injury to return to unrestricted sports activities.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Cyclops syndrome - A complication after anterior cruciate ligament reconstruction

Ristić¹,

Ilić²,

Bjelobrk³

et al. 2019

Med pregl

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“…Surgical errors are the most frequent cause of graft failure (around 70%). [11][12][13] Graft integration is the factor that ultimately demonstrates the success of surgical intervention. A rapid and strong integration of the graft allows early rehabilitation and recovery of the knee.…”

Section: Problems To Solvementioning

confidence: 99%

ACL Surgical Technique — Staying Out of Trouble

Predescu

Prejbeanu

Bordea

et al. 2016

Journal of Interdisciplinary Medicine

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The incidence of ACL tear and reconstruction has increased over time, and failure of ACL reconstruction is not perfectly defined among surgeons. Atraumatic failure of ACL surgery represents approximately 70% of causes, and occurs in diagnostic errors, technical errors and problems of ACL graft integrations. Regarding surgical technique, we should answer certain questions about our choice of surgery, tunnel position, graft type, graft suture, tensioning the graft, and how we deal with certain incidents or intraoperative accidents. The purpose of this article is to review the current information and trends of ACL reconstruction, and presents some tips and tricks we use in our current practice.

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