Revision anterior cruciate ligament reconstruction: an update

被引：43
|
作者：
Mayr, R. [1 ]
Rosenberger, R. [1 ]
Agraharam, D. [2 ]
Smekal, V. [1 ]
El Attal, Rene [1 ]
机构：
[1] Innsbruck Med Univ, Dept Trauma Surg, A-6020 Innsbruck, Austria
[2] Ganga Hosp, Dept Trauma Surg, Coimbatore, Tamil Nadu, India
来源：
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY | 2012年 / 132卷 / 09期
关键词：
Anatomical ACL reconstruction; Anterior cruciate ligament; Revision; Failure; Recurrent instability; HAMSTRING TENDON AUTOGRAFTS; INTRAARTICULAR RUPTURE PATTERN; INTERFERENCE SCREW FIXATION; INITIAL GRAFT TENSION; KNEE FLEXION ANGLES; PATELLAR TENDON; ACL RECONSTRUCTION; BONE TUNNEL; LONG-TERM; SURGERY EXPERIENCE;
D O I：
10.1007/s00402-012-1552-1
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
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.
引用
收藏
页码：1299 / 1313
页数：15
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