TY - JOUR
T1 - Revision Anterior Cruciate Ligament Reconstruction
AU - Carson, Eric W.
AU - Anisko, Eva M.
AU - Restrepo, Cesar
AU - Panariello, Robert A.
AU - O’ Brien, Stephen J.
AU - Warren, Russell F.
PY - 2004/6/1
Y1 - 2004/6/1
N2 - A retrospective study was performed to determine the etiology of failed primary anterior cruciate ligament (ACL) reconstruction and evaluate the clinical results of revision ACL surgery. From January 1989 to January1996, 90 patients with failed ACL reconstructions underwent revision ACL surgery. The etiology of failed ACL reconstruction included 47 surgical technical errors, 22 traumatic reinjuries, 7 lack of graft incorporation, 3oss of motion, 3 related to synthetic grafts, and 8 alignment or combined liga-mentous instability patterns not addressed. Of 52 revision ACL patients with minimum 2-year follow-up, 43 responded to a questionnaire and underwent a comprehensive physical examination. The Hospital for Special Surgery knee ligament evaluation revealed 63% good/excellent results. Objective laxity test revealed 77% of all patients had 0/+1 grade on Lachman and a mean 2.86-mm KT 1000. The overall results of revision ACL surgery are encouraging in providing symptomati relief and restoring stability; however, they are significantly lower than primary ACL surgery.
AB - A retrospective study was performed to determine the etiology of failed primary anterior cruciate ligament (ACL) reconstruction and evaluate the clinical results of revision ACL surgery. From January 1989 to January1996, 90 patients with failed ACL reconstructions underwent revision ACL surgery. The etiology of failed ACL reconstruction included 47 surgical technical errors, 22 traumatic reinjuries, 7 lack of graft incorporation, 3oss of motion, 3 related to synthetic grafts, and 8 alignment or combined liga-mentous instability patterns not addressed. Of 52 revision ACL patients with minimum 2-year follow-up, 43 responded to a questionnaire and underwent a comprehensive physical examination. The Hospital for Special Surgery knee ligament evaluation revealed 63% good/excellent results. Objective laxity test revealed 77% of all patients had 0/+1 grade on Lachman and a mean 2.86-mm KT 1000. The overall results of revision ACL surgery are encouraging in providing symptomati relief and restoring stability; however, they are significantly lower than primary ACL surgery.
UR - http://www.scopus.com/inward/record.url?scp=16644366756&partnerID=8YFLogxK
U2 - 10.1055/s-0030-1248210
DO - 10.1055/s-0030-1248210
M3 - Article
C2 - 15366266
AN - SCOPUS:16644366756
VL - 17
SP - 127
EP - 132
JO - Journal of Knee Surgery
JF - Journal of Knee Surgery
SN - 1538-8506
IS - 3
ER -