Skip to main content

Revision Anterior Cruciate Ligament Reconstruction

  • Reference work entry
  • First Online:
Sports Injuries
  • 184 Accesses

Abstract

Anterior cruciate ligament (ACL) reconstruction surgery is common and clinical outcomes are typically good. However, a minority of patients develop recurrent instability, necessitating revision surgery.

Successful revision ACL reconstruction requires a thorough history and physical examination along with a careful review of imaging studies in order to determine the etiology of failure and identify appropriate surgical candidates. Once the decision to proceed with revision ACL reconstruction is made, a meticulous preoperative plan that takes into consideration graft selection, tunnel placement, residual hardware, bone stock, alignment, and skin integrity is critical. In this manner, outcomes after revision ACL reconstruction can be optimized.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 699.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 999.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Bach BR Jr, Mazzocca A, Fox JA (2003) Revision anterior cruciate ligament surgery. Arthroscopy 19:14–29

    Article  Google Scholar 

  • Baer GS, Harner CD (2007) Clinical outcomes of allograft versus autograft in anterior cruciate ligament reconstruction. Clin Sports Med 26:661–681. doi:10.1016/j.csm.2007.06.010

    Article  Google Scholar 

  • Barker JU, Drakos MC, Maak TG et al (2010) Effect of graft selection on the incidence of postoperative infection in anterior cruciate ligament reconstruction. Am J Sports Med 38:281–286. doi:10.1177/0363546509346414

    Article  Google Scholar 

  • Battaglia MJ, Cordasco FA, Hannafin JA et al (2007) Results of revision anterior cruciate ligament surgery. Am J Sports Med 35:2057–2066. doi:10.1177/0363546507307391

    Article  Google Scholar 

  • Biau DJ, Tournoux C, Katsahian S et al (2006) Bone-patellar tendon-bone autografts versus hamstring autografts for reconstruction of anterior cruciate ligament: meta-analysis. BMJ 332:995–1001. doi:10.1136/bmj.38784.384109.2F

    Article  Google Scholar 

  • Biau DJ, Tournoux C, Katsahian S et al (2007) ACL reconstruction: a meta-analysis of functional scores. Clin Orthop Relat Res 458:180–187. doi:10.1097/BLO.0b013e31803dcd6b

    Article  Google Scholar 

  • Corsetti JR, Jackson DW (1996) Failure of anterior cruciate ligament reconstruction: the biologic basis. Clin Orthop Relat Res 325:42–49

    Article  Google Scholar 

  • Fox JA, Pierce M, Bojchuk J et al (2004) Revision anterior cruciate ligament reconstruction with nonirradiated fresh-frozen patellar tendon allograft. Arthroscopy 20:787–794. doi:10.1016/j.arthro.2004.07.019

    Article  Google Scholar 

  • Garofalo R, Djahangiri A, Siegrist O (2006) Revision anterior cruciate ligament reconstruction with quadriceps tendon-patellar bone autograft. Arthroscopy 22:205–214. doi:10.1016/j.arthro.2005.08.045

    Article  Google Scholar 

  • Getelman MH, Friedman MJ (1999) Revision anterior cruciate ligament reconstruction surgery. J Am Acad Orthop Surg 7:189–198

    Article  CAS  Google Scholar 

  • Graf B, Uhr F (1988) Complications of intra-articular anterior cruciate reconstruction. Clin Sports Med 7:835–848

    Article  CAS  Google Scholar 

  • Harter RA, Osternig LR, Singer KM et al (1988) Long-term evaluation of knee stability and function following surgical reconstruction for anterior cruciate ligament insufficiency. Am J Sports Med 16:434–443

    Article  CAS  Google Scholar 

  • Howe JG, Johnson RJ, Kaplan MJ et al (1991) Anterior cruciate ligament reconstruction using quadriceps patellar tendon graft. Part I. Long-term followup. Am J Sports Med 19:447–457

    Article  CAS  Google Scholar 

  • Kaeding CC, Aros B, Pedroza A et al (2011) Allograft versus autograft anterior cruciate ligament reconstruction: predictors of failure from a moon prospective longitudinal cohort. Sports Health 3:73–81. doi:10.1177/1941738110386185

    Article  Google Scholar 

  • Kamath GV, Redfern JC, Greis PE, Burks RT (2011) Revision anterior cruciate ligament reconstruction. Am J Sports Med 39:199–217. doi:10.1177/0363546510370929

    Article  Google Scholar 

  • Kaplan MJ, Howe JG, Fleming B et al (1991) Anterior cruciate ligament reconstruction using quadriceps patellar tendon graft. Part II. A specific sport review. Am J Sports Med 19:458–462

    Article  CAS  Google Scholar 

  • Lyman S, Koulouvaris P, Sherman S et al (2009) Epidemiology of anterior cruciate ligament reconstruction: trends, readmissions, and subsequent knee surgery. J Bone Joint Surg Am 91:2321–2328. doi:10.2106/JBJS.H.00539

    Article  Google Scholar 

  • Maak TG, Voos JE, Wickiewicz TL, Warren RF (2010) Tunnel widening in revision anterior cruciate ligament reconstruction. J Am Acad Orthop Surg 18:695–706

    Article  Google Scholar 

  • Marx RG (ed) (2014) Revision ACL reconstruction: indications and techniques. Springer, New York

    Google Scholar 

  • Marx RG, Shindle MK, Warren RF (2009) Management of posterior cruciate ligament injuries. Oper Tech Sports 7:162–166

    Google Scholar 

  • Marzo JM, Bowen MK, Warren RF et al (1992) Intraarticular fibrous nodule as a cause of loss of extension following anterior cruciate ligament reconstruction. Arthroscopy 8:10–18

    Article  CAS  Google Scholar 

  • Reinhardt KR, Hammoud S, Bowers AL et al (2012) Revision ACL reconstruction in skeletally mature athletes younger than 18 years. Clin Orthop Relat Res 470:835–842. doi:10.1007/s11999-011-1956-1

    Article  Google Scholar 

  • Salmon L, Russell V, Musgrove T et al (2005) Incidence and risk factors for graft rupture and contralateral rupture after anterior cruciate ligament reconstruction. Arthroscopy 21:948–957. doi:10.1016/j.arthro.2005.04.110

    Article  Google Scholar 

  • Salmon LJ, Pinczewski LA, Russell VJ, Refshauge K (2006) Revision anterior cruciate ligament reconstruction with hamstring tendon autograft: 5- to 9-year follow-up. Am J Sports Med 34:1604–1614. doi:10.1177/0363546506288015

    Article  Google Scholar 

  • Shelbourne KD, Patel DV (1999) Treatment of limited motion after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 7:85–92

    Article  CAS  Google Scholar 

  • Shelbourne KD, Patel DV, Martini DJ (1996) Classification and management of arthrofibrosis of the knee after anterior cruciate ligament reconstruction. Am J Sports Med 24:857–862

    Article  CAS  Google Scholar 

  • Shelbourne KD, Gray T, Haro M (2009) Incidence of subsequent injury to either knee within 5 years after anterior cruciate ligament reconstruction with patellar tendon autograft. Am J Sports Med 37:246–251. doi:10.1177/0363546508325665

    Article  Google Scholar 

  • Spindler KP, Kuhn JE, Freedman KB et al (2004) Anterior cruciate ligament reconstruction autograft choice: bone-tendon-bone versus hamstring: does it really matter? A systematic review. Am J Sports Med 32:1986–1995

    Article  Google Scholar 

  • Wright RW, Dunn WR, Amendola A et al (2007) Risk of tearing the intact anterior cruciate ligament in the contralateral knee and rupturing the anterior cruciate ligament graft during the first 2 years after anterior cruciate ligament reconstruction: a prospective MOON cohort study. Am J Sports Med 35:1131–1134. doi:10.1177/0363546507301318

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Demetris Delos .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer-Verlag Berlin Heidelberg

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Delos, D., Marx, R.G. (2015). Revision Anterior Cruciate Ligament Reconstruction. In: Doral, M.N., Karlsson, J. (eds) Sports Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36569-0_101

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-36569-0_101

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-36568-3

  • Online ISBN: 978-3-642-36569-0

  • eBook Packages: MedicineReference Module Medicine

Publish with us

Policies and ethics