Abstract
Preoperative planning for revision ACL reconstruction represents one of the most crucial steps to optimize postoperative outcomes. Three main steps should be appreciated in the planning sequence including: (1) identification of the etiology of the failed ACL reconstruction, (2) a comprehensive patient evaluation, and (3) planning of the surgical approach. Potential etiologies of failure include: technical failure, biologic failure, mechanical failure, and unrecognized concomitant injury. Each of these etiologies must be considered prior to surgery to optimize postoperative outcome. Planning of the surgical approach is of utmost importance in the revision ACL setting and should include consideration of the skin incision, tunnel widening, implanted hardware, presence of implanted prosthetic ligaments, graft selection, tunnel placement, and fixation options. Preoperative consideration of each of the failure etiologies and possible surgical pitfalls will help minimize surgical complications, decrease operative time, and maximize postoperative outcomes.
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Maak, T.G., Delos, D., Cordasco, F.A. (2014). Preoperative Planning 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_7
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DOI: https://doi.org/10.1007/978-1-4614-0766-9_7
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