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Archives of Orthopaedic and Trauma Surgery
Published in: Archives of Orthopaedic and Trauma Surgery 9/2012

01-09-2012 | Arthroscopy and Sports Medicine

Revision anterior cruciate ligament reconstruction: an update

Authors: R. Mayr, R. Rosenberger, D. Agraharam, V. Smekal, René El Attal

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 9/2012

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Abstract

With the rising number of anterior cruciate ligament (ACL) reconstructions performed, revision ACL reconstruction is increasingly common nowadays. A broad variety of primary and revision ACL reconstruction techniques have been described in the literature. Recurrent instability after primary ACL surgery is often due to non-anatomical ACL graft reconstruction and altered biomechanics. Anatomical reconstruction must be the primary goal of this challenging revision procedure. Recently, revision ACL reconstruction has been described using double bundle hamstring graft. Successful revision ACL reconstruction requires an exact understanding of the causes of failure and technical or diagnostic errors. The purpose of this article is to review the causes of failure, preoperative evaluation, graft selection and types of fixation, tunnel placement, various types of surgical techniques and clinical outcome of revision ACL reconstruction.
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Metadata
Title
Revision anterior cruciate ligament reconstruction: an update
Authors
R. Mayr
R. Rosenberger
D. Agraharam
V. Smekal
René El Attal
Publication date
01-09-2012
Publisher
Springer-Verlag
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 9/2012
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-012-1552-1

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