Revision Anterior Cruciate Ligament Reconstruction Using the ???Anatomic-Endoscopic??? Method

Clancy, William G.; Pietropaoli, Marc P.

doi:10.1097/00013611-199812000-00009

Cited by 7 publications

(2 citation statements)

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“…39 We should not forget that complex ligament injuries, such as posterior cruciate tear, posterolateral corner lesion, medial collateral ligament tear or residual laxity, affect the result of ACL surgery leading to failure. 40 After ACL reconstruction we suggest returning to sport after a minimum of 6 months, when the knee has no swelling, the range of motion is 0 to 150°, when the full sprinting program is completed, quadriceps strength is at least 85% compared to the contralateral limb, hamstrings strength is at least 90% of the contralateral limb, and the Hoop test is minimum 85%.…”

Section: Tip No 8 -Graft Tensioningmentioning

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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Section: Tip No 8 -Graft Tensioningmentioning

confidence: 99%

ACL Surgical Technique — Staying Out of Trouble

Predescu

Prejbeanu

Bordea

et al. 2016

Journal of Interdisciplinary Medicine

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show abstract

“…Generally the autograft of choice is the ipsilateral bone-patellar tendon-bone (BPTB), but other autografts are available including the quadrupled semitendinosus-gracilis tendons, or the quadriceps tendon. 12 The advantages of a quadriceps tendon autograft include the fact that it is thicker than a patellar tendon autograft, has intermediate morbidity, and decreased operative time. 13 The disadvantages include cosmesis, soft tissue fixation, and slower incorporation of the graft.…”

Section: Graft Selectionmentioning

confidence: 99%

ACL Surgery-The Pittsburgh Experience

Gilbart¹,

Chhabra²,

Harner³

2005

Sports Medicine and Arthroscopy Review

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There are currently more than 100,000 anterior cruciate ligament (ACL) reconstructions performed annually in the United States. The overall rate of success of ACL reconstruction in terms of restoration of stability, loss of sensation of giving way and relief of symptoms is reported between 75% and 90% in the literature. Approximately 8% of these patients have an unsatisfactory result due to recurrent instability and graft failure. An ACL reconstruction failure may consist of a combination of subjective factors of pain, instability, or stiffness as well as objective findings of laxity, progressive degenerative changes, or loss of motion. For many of those patients who experience a failure following an ACL reconstruction, revision ACL reconstruction is indicated to provide the patient with a stable knee, to prevent further injury to the cartilage and menisci, and to improve patient function. Operative considerations include the timing of the surgery, graft selection, and surgical technique. Other considerations include the treatment of combined instabilities, the treatment of pre-existing meniscal or articular pathology, and the necessity of performing any corrective limb realignment procedures. This article will discuss the mechanisms of failure of ACL reconstructions, will provide an approach to patients with ACL reconstruction failures, and will discuss the rationale for primary grafting and for staged revision surgery.

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Revision ACL Reconstruction: Indications and Technique

Bach¹

2004

Textbook of Arthoscopy

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Revision Anterior Cruciate Ligament Reconstruction Using the ???Anatomic-Endoscopic??? Method

Cited by 7 publications

References 0 publications

ACL Surgical Technique — Staying Out of Trouble

ACL Surgical Technique — Staying Out of Trouble

ACL Surgery-The Pittsburgh Experience

Revision ACL Reconstruction: Indications and Technique

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