Revision ACL Reconstruction

Abstract

The definition of an anterior cruciate ligament (ACL) failure is symptomatic instability, pain, extensor dysfunction, and arthrofibrosis following a surgical reconstruction. Although this is an oversimplification, and despite many ACL failures falling into one of these categories, there is still no universally accepted definition of unsatisfactory outcome following ACL reconstruction.

This article provides a working definition of revision ACL reconstruction and reviews the pathophysiology, incidence, and clinical presentation for patients who may be considered for a revision procedure. Indications, contradications and treatment options, including graft considerations, bone tunnels, femoral tunnels, and tibial tunnels are reviewed. An indepth presentation of the revision ACL reconstruction procedure is shown. Video is available. CME Credit will be available soon.

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