Abstract
The number of anterior cruciate ligament (ACL) reconstructions has increased substantially over the last 20 years (Lyman et al., J Bone Joint Surg Am 2009;91:2321–8). The recorded number of ACL reconstructions in 1991 was approximately 63,000 cases (Brown and Carson, Clin Sports Med 1999;18:109–71). Since then, the current estimated rates have ranged from 100,000 to 175,000 procedures a year (Brown and Carson, Clin Sports Med 1999;18:109–71; Spindler and Wright, New Engl J Med 2008;359:2135–42). This growing trend is likely to continue given the general population’s increasing pursuit of an active lifestyle, especially in the female athlete and aging populations. Concurrently, with a rising number of primary ACL reconstructions, combined with the high expectations placed on the surgically reconstructed knee by a high-demand population, the number of ACL reconstruction failures and candidates for revision ACL reconstructions is expected to increase as well. Estimates of patients that are candidates for revision ACL surgery have ranged from 3,000 to 10,000 patients annually (Thomas and Pandit, The anterior cruciate ligament: reconstruction and basic science. Philadelphia, PA: Saunders Elsevier; 2008. pp. 443–56), or between 3 and 25 % of primary ACL reconstructions performed (Wolf and Lemak, J Southern Orthop Assoc 2002;11:25–32).
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Leonard, J.P., Spindler, K.P. (2014). Indications for Revision ACL Reconstruction. In: Marx, R. (eds) Revision ACL Reconstruction. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-0766-9_6
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