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MINERVA ORTOPEDICA E TRAUMATOLOGICA

A Journal on Orthopedics and Traumatology


Official Journal of the Piedmontese-Ligurian-Lombard Society of Orthopedics and Traumatology
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Minerva Ortopedica e Traumatologica 2009 August;60(4):341-51

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

Revision anterior cruciate ligament reconstruction. Challenges and approaches

Lind M. 1, Lund B. 1, Faunø P. 1, Christiansen S. E. 1, Jakobsen B. W. 2

1 Division of Sports Trauma University Hospital of Aarhus, Aarhus, Denmark 2 Eira Private Hospital, Aarhus, Denmark


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Management of poor clinical outcome after anterior cruciate ligament (ACL) reconstruction represents a significant clinical and surgical challenge. In order to be able to perform a successful revision ACL reconstruction procedure, it is necessary prior to surgery to determine the causes of failure of the primary ACL reconstruction. At surgery anatomical and technical deficiencies should be corrected and undiagnosed concomitant ligament and other soft tissue lesions should be addressed. Clinical results after ACL revision have previously been based on low evidence level case series but newly established national registries now offer result data from entire nations. This review paper will address ACL reconstruction failure mechanisms, surgical techniques, graft and implants choices and clinical outcome of ACL revision reconstruction.

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