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Archives of Orthopaedic and Trauma Surgery

, Volume 132, Issue 9, pp 1299–1313 | Cite as

Revision anterior cruciate ligament reconstruction: an update

  • R. Mayr
  • R. Rosenberger
  • D. Agraharam
  • V. Smekal
  • René El AttalEmail author
Arthroscopy and Sports Medicine

Abstract

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.

Keywords

Anatomical ACL reconstruction Anterior cruciate ligament Revision Failure Recurrent instability 

Notes

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • R. Mayr
    • 1
  • R. Rosenberger
    • 1
  • D. Agraharam
    • 2
  • V. Smekal
    • 1
  • René El Attal
    • 1
    Email author
  1. 1.Department of Trauma SurgeryInnsbruck Medical UniversityInnsbruckAustria
  2. 2.Department of Trauma SurgeryGanga HospitalCoimbatoreIndia

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