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Revision Anterior Cruciate Ligament Reconstruction 

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  1. A novel surgical technique for revision anterior cruciate ligament reconstruction using an isolated rectus femoris tendon autograft

    Graft selection is a critical part of anterior cruciate ligament (ACL) surgery to match the individual needs of the patient and maximise the clinical outcome. Bone-patella tendon-bone (BPTB) autograft is widely used. Direct bone-to-bone healing …

  2. Open Access 01-12-2024 | OriginalPaper

    Delaying anterior cruciate ligament reconstruction for more than 3 or 6 months results in lower risk of revision surgery

    The optimal timing of anterior cruciate ligament reconstruction (ACLR) remains uncertain, and there is no consensus on whether early or delayed surgery provides the best outcome.

  3. Open Access 01-05-2024 | Anxiety | Online First

    Lower anxiety level to perform movements after revision anterior cruciate ligament reconstruction with lateral extra-articular tenodesis compared to without lateral extra-articular tenodesis

    Anterior cruciate ligament (ACL) injuries are commonly treated with ACL reconstruction (ACLR) [ 22 ]. However, 7% to 18% of patients who undergo an ACLR sustain graft failure [ 27 , 28 ]. A secondary ACL injury is usually treated with revision

  4. Satisfactory outcomes after one-stage revision anterior cruciate ligament reconstruction using rectangular tunnel technique

    The increasing number of primary anterior cruciate ligament reconstructions (ACLRs) being performed has also increased the need for revision surgeries. Unfortunately, the outcomes of revision ACLRs are reportedly inferior to those of primary ACLRs …

  5. Contralateral hamstring autografts do not provide benefit compared to ipsilateral hamstring autografts in primary or revision anterior cruciate ligament reconstruction: a systematic review

    Various graft choices are available for anterior cruciate ligament reconstruction (ACLR), including autografts and allografts, with the former being generally preferred due to their lower failure rates, improved sports function and better …

  6. Revision anterior cruciate ligament reconstruction using the ipsilateral Quadriceps tendon autograft: a modular reconstructive option

    Failure of the reconstructed ACL may occur as a single incident after trauma leading to re-rupture or sometimes secondary to cumulative stresses that eventually lead to ultimate failure of the ACL graft substitute, usually predisposed to by some …

  7. 05-09-2023 | ReviewPaper

    One-stage anterior cruciate ligament revision surgery after primary failed double-bundle reconstruction: a systematic review

    Anterior cruciate ligament (ACL) double bundle (DB) reconstruction, which aims to reconstruct both the anteromedial (AM) and postero-lateral (PL) bundles of the ACL, has been getting popular because it allows anatomy restoration and improves …

  8. Open Access 21-09-2023 | OriginalPaper

    Combined anterior cruciate ligament revision with reconstruction of the antero-lateral ligament does not improve outcome at 2-year follow-up compared to isolated acl revision; a randomized controlled trial

    ACL-R is a commonly performed orthopedic procedure that aims to restore the stability of the knee in patients who have sustained an ACL injury. However, residual rotational instability after ACL-R has been reported [ 1 – 3 ] which has led to an …

  9. Open Access 01-12-2023 | OriginalPaper

    Rotational stability can be enhanced in revision anterior cruciate ligament reconstruction using the over-the-top augmentation technique compared to single bundle technique

    Revision ACL reconstruction is technically more demanding than primary ACL reconstruction, and the reported outcomes of revision to date have been inferior to those of primary ACL reconstruction [ 1 – 5 ]. In a recent systematic review, the overall …

  10. Open Access 03-07-2023 | Pyarthrosis | OriginalPaper

    Poorer patient-reported outcome and increased risk of revision at a 5-year follow-up among patients with septic arthritis following anterior cruciate ligament reconstruction: a register-based cohort study of 23,075 primary anterior cruciate ligament reconstructions

    Septic arthritis following anterior cruciate ligament reconstruction (ACLR) is a rare yet severe adverse event. It often requires multiple surgical interventions and long-term treatment with antibiotics and may lead to joint damage and permanent …

  11. Open Access 11-04-2023 | Revision Anterior Cruciate Ligament Reconstruction | OriginalPaper

    Good rates of return-to-sport in athletes after revision anterior cruciate ligament reconstruction using autologous patellar tendon and lateral extra-articular tenodesis: a 2-year follow-up prospective study

    Reconstruction of the anterior cruciate ligament (ACLR) is one of the most common surgical procedures, with a reported failure rate of 3–14% [ 1 ]. Patient outcomes are less favourable when failures occur, and they undergo revision procedures.

  12. Open Access 28-01-2023 | Revision Anterior Cruciate Ligament Reconstruction | OriginalPaper

    Allografts and lateral extra-articular tenodesis for revision anterior cruciate ligament reconstruction: enhanced rotational stability and improved functional outcomes

    Reconstruction of the anterior cruciate ligament (ACLR) is one of the most common surgical procedures, with a reported failure rate of 3–14% [ 1 ]. Patient outcomes are less favorable when failures occur, and they undergo revision procedures. These …

  13. 04-05-2023 | OriginalPaper

    No difference in revision risk between autologous hamstring graft less than 8 mm versus hybrid graft 8 mm or larger in anterior cruciate ligament reconstruction

    Surgical reconstruction of a torn anterior cruciate ligament (ACL) can prevent further instability and damage to structures, including articular cartilage and menisci [ 7 ]. Graft type is an important factor to successful surgical outcome.

  14. Open Access 12-10-2022 | Revision Anterior Cruciate Ligament Reconstruction | ReviewPaper

    Multiple revision anterior cruciate ligament reconstruction: not the best but still good

    ACL reconstructions are one of the most commonly performed arthroscopic reconstructive procedures and this has only been estimated to increase over the next few years until 2025 by some computer-based predictive models [ 20 ]. Understandably, such …

  15. Open Access 18-08-2022 | OriginalPaper

    Clinical outcomes and return to sport after single-stage revision anterior cruciate ligament reconstruction by bone-patellar tendon autograft combined with lateral extra-articular tenodesis

    Over the last decade, the anterior cruciate ligament reconstruction (ACLR) has become an increasingly common orthopedic procedure, for the growing number of injuries in pivoting sports, other athletic activities and not only [ 1 – 3 ]. Despite the …

  16. Revision anterior cruciate ligament reconstruction and outcomes with different autografts in a population with kneeling customs

    Anterior cruciate ligament (ACL) injuries are one of the most common lower limb injuries, with about 1 million ACL injuries recorded annually worldwide [ 1 ]. According to the literature, 5.4% of all ACL reconstruction (ACLR) patients undergo …

  17. 01-05-2022 | Meniscal Injury | OriginalPaper

    Low annual hospital volume of anterior cruciate ligament reconstruction is not associated with higher revision rates

    Anterior Cruciate Ligament (ACL) reconstruction is a commonly performed orthopaedic procedure and surgery rates are increasing [ 59 ]. Extensive research has focussed on optimising outcomes for this procedure through surgical technique and implant …

  18. 25-03-2022 | OriginalPaper

    A high level of knee laxity after anterior cruciate ligament reconstruction results in high revision rates

    An anterior cruciate ligament (ACL) rupture is a serious injury that occurs frequently in the younger population during sports activities [ 1 , 14 , 18 ]. Subsequently ACL injured knees have an increased risk of osteoarthritis [ 8 ]. The main goal …

  19. Open Access 01-12-2022 | Magnetic Resonance Imaging | OriginalPaper

    Transepicondylar distance measured on MRI can predict the length of the graft required for different anterior cruciate ligament reconstruction (ACLR) techniques useful for revision surgery

    Anterior cruciate ligament reconstruction (ACLR) is one of the most common orthopedic procedures [ 1 , 2 ]. A better understanding of the anatomy of the anterior cruciate ligament (ACL= [ 3 ] together with the anatomy and biomechanics of the …

  20. 01-06-2020 | Bone Defect | OriginalPaper

    Re-revision anterior cruciate ligament reconstruction showed more laxity than revision anterior cruciate ligament reconstruction at a minimum 2-year follow-up

    The number of anterior cruciate ligament reconstructions (ACLRs) has significantly increased in recent years, with as many as 13,000 patients undergoing revision ACLR annually in the United States alone [ 13 , 16 ]. However, revision ACLR is a …

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