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ACL Revision

  • Jonathan G. RobinEmail author
  • Elvire Servien
  • Philippe Neyret

Abstract

Football is one of the most popular sports worldwide and participation continues to grow. Knee injuries in football, in particular ACL injuries are common. With an increase in ACL reconstructions being performed, graft failure and revision ACL reconstruction is becoming an increasingly performed procedure. The most common reasons for graft failure in general are technical errors (especially poor tunnel position) in the primary ACL reconstruction and re-injury. These factors are not well documented in football players.

As there are many different technical factors and anatomical situations to consider in revision ACL reconstructions, the surgeon must be prepared to deal with these and adapt their surgical technique as necessary. The literature shows that in general, the outcomes of revision ACL reconstructions are inferior to that of primary ACL surgery. There is however, a lack of literature regarding the results of revision surgery in football players and this is an area that needs more research in the future. There is also a lack of consensus regarding rehabilitation following revision ACL reconstruction. Ultimately this must be tailored according to the surgery performed and the patients’ post-operative progress.

Keywords

Football Anterior cruciate ligament Revision ACL reconstruction Technical errors Re-injury 

References

  1. 1.
    Wong P, Hong Y (2005) Football injury in the lower extremities. Br J Sports Med 39:473–482CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Kvist J, Kartus J, Karlsson J et al (2014) Results from the Swedish national anterior cruciate ligament register. Arthroscopy 30:803–810CrossRefPubMedGoogle Scholar
  3. 3.
    Moses B, Orchard J, Orchard J (2012) Systematic review: annual incidence of ACL injury and surgery in various populations. Res Sports Med 20:157–179PubMedGoogle Scholar
  4. 4.
    Ekstrand J, Hägglund M, Waldèn M (2011) Injury incidence and injury patterns in professional football: the UEFA injury study. Br J Sports Med 45:553–558CrossRefPubMedGoogle Scholar
  5. 5.
    Waldèn M, Hägglund M, Werner J et al (2011) The epidemiology of anterior cruciate ligament injury in football (football): a review of the literature from a gender-related perspective. Knee Surg Sports Traumatol Arthrosc 19:3–10CrossRefPubMedGoogle Scholar
  6. 6.
    Gianotti S, Marshall S, Hume P et al (2009) Incidence of anterior cruciate ligament injury and other knee ligament injuries: a national population-based study. J Sci Med Sport 12:622–627CrossRefPubMedGoogle Scholar
  7. 7.
    Lind M, Menhert F, Pedersen AB (2012) Incidence and outcome after revision anterior cruciate ligament reconstruction: results from the danish registry for knee ligament reconstructions. Am J Sports Med 40:1551–1557CrossRefPubMedGoogle Scholar
  8. 8.
    Carson EW, Anisko EM, Restrepo C et al (2004) Revision anterior cruciate ligament reconstruction: etiology of failures and clinical results. J Knee Surg 17:127–132PubMedGoogle Scholar
  9. 9.
    Brophy R, Schmitz L, Wright R et al (2012) Return to play and future ACL injury risk after ACL reconstruction in football athletes from the multicenter orthopaedic outcomes network (MOON) group. Am J Sports Med 40:2517–2522CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    Zaffagnini S, Grassi A, Marcheggiani Muccioli G et al (2014) Return to sport after anterior cruciate ligament reconstruction in professional football players. Knee 21:731–735CrossRefPubMedGoogle Scholar
  11. 11.
    Trojani C, Sbihi A, Djian P et al (2011) Causes for failure of ACL reconstruction and influence of meniscectomies after revision. Knee Surg Sports Traumatol Arthrosc 19:196–201CrossRefPubMedGoogle Scholar
  12. 12.
    Lind M (2014) One stage revision: Danish approach. In: Siebold R, Dejour D, Zaffagnini S (eds) Anterior cruciate ligament reconstruction: a practical surgical guide. Springer, Heidelberg, pp p387–p403CrossRefGoogle Scholar
  13. 13.
    Wolf RS, Lemak LJ (2002) Revision anterior cruciate ligament reconstruction surgery. J South Orthop Assoc 11:25–32PubMedGoogle Scholar
  14. 14.
    Allen CR, Giffin JR, Harner CD (2003) Revision anterior cruciate ligament reconstruction. Orthop Clin North Am 34:79–98CrossRefPubMedGoogle Scholar
  15. 15.
    Getelman MH, Friedman MJ (1999) Revision anterior cruciate ligament reconstruction surgery. J Am Acad Orthop Surg 7:189–198CrossRefPubMedGoogle Scholar
  16. 16.
    Weiler A, Wagner M (2008) Revision anterior cruciate ligament reconstruction using autologous hamstring tendons. In: The anterior cruciate ligament: reconstruction and basic science. Saunders, Philadelphia, pp 427–442CrossRefGoogle Scholar
  17. 17.
    Tanzer M, Lenczner E (1990) The relationship of intercondylar notch size and content to notchplasty requirement in anterior cruciate ligament surgery. Arthroscopy 6:89–93CrossRefPubMedGoogle Scholar
  18. 18.
    Howell SM, Clark JA (1992) Tibial tunnel placement in anterior cruciate ligament reconstructions and graft impingement. Clin Orthop 283:187–195PubMedGoogle Scholar
  19. 19.
    Howell SM, Taylor MA (1993) Failure of reconstruction of the anterior cruciate ligament due to impingement by the intercondylar roof. J Bone Joint Surg Am 75:1044–1055PubMedGoogle Scholar
  20. 20.
    George MS, Dunn WR, Spindler KP (2006) Current concepts review: revision anterior cruciate ligament reconstruction. Am J Sports Med 34:2026–2037CrossRefPubMedGoogle Scholar
  21. 21.
    Kurosaka M, Yoshiya S, Andrish JT (1987) A biomechanical comparison of different surgical techniques of graft fixation in anterior cruciate ligament reconstruction. Am J Sports Med 15:225–229CrossRefPubMedGoogle Scholar
  22. 22.
    Steiner ME, Hecker AT, Brown CH et al (1994) Anterior cruciate ligament graft fixation: comparison of hamstring and patellar tendon grafts. Am J Sports Med 22:240–246CrossRefPubMedGoogle Scholar
  23. 23.
    Brown CH Jr, Hecker AT, Hipp JA et al (1993) The biomechanics of interference screw fixation of patellar tendon anterior cruciate ligament grafts. Am J Sports Med 21:880–886CrossRefPubMedGoogle Scholar
  24. 24.
    Doerr AL Jr, Cohn BT, Ruoff MJ et al (1990) A complication of interference screw fixation in anterior cruciate ligament reconstruction. Orthop Rev 19:997–1000PubMedGoogle Scholar
  25. 25.
    Burks RT, Leland R (1988) Determination of graft tension before fixation in anterior cruciate ligament reconstruction. Arthroscopy 4:260–266CrossRefPubMedGoogle Scholar
  26. 26.
    Yoshiya S, Andrish JT, Manley MT et al (1987) Graft tension in anterior cruciate ligament reconstruction: an in vivo study in dogs. Am J Sports Med 15:464–470CrossRefPubMedGoogle Scholar
  27. 27.
    Bylski-Austrow DI, Grood ES, Hefzy MS et al (1990) Anterior cruciate ligament replacements: a mechanical study of femoral attachment location, flexion angle at tensioning, and initial tension. J Orthop Res 8:522–531CrossRefPubMedGoogle Scholar
  28. 28.
    Gertel TH, Lew WD, Lewis JL et al (1993) Effect of anterior cruciate ligament graft tensioning direction, magnitude, and flexion angle on knee biomechanics. Am J Sports Med 21:572–581CrossRefPubMedGoogle Scholar
  29. 29.
    Gersoff WK, Clancy WG Jr (1988) Diagnosis of acute and chronic anterior cruciate ligament tears. Clin Sports Med 7:727–738PubMedGoogle Scholar
  30. 30.
    Harner CD, Giffin JR, Dunteman RC et al (2001) Evaluation and treatment of recurrent instability after anterior cruciate ligament reconstruction. Instr Course Lect 50:463–474PubMedGoogle Scholar
  31. 31.
    Noyes FR, Barber SD, Simon R (1993) High tibial osteotomy and ligament reconstruction in varus angulated, anterior cruciate ligament-deficient knees. A two- to seven-year follow-up study. Am J Sports Med 21:2–12CrossRefPubMedGoogle Scholar
  32. 32.
    Noyes FR, Barber-Westin SD, Hewett TE (2000) High tibial osteotomy and ligament reconstruction for varus angulated anterior cruciate ligament-deficient knees. Am J Sports Med 28:282–296PubMedGoogle Scholar
  33. 33.
    Arnoczky SP (1996) Biology of ACL reconstructions: what happens to the graft? Instr Course Lect 45:229–233PubMedGoogle Scholar
  34. 34.
    Muneta T, Yamamoto H, Takakuda K et al (1993) Effects of postoperative immobilization on the reconstructed anterior cruciate ligament. An experimental study in rabbits. Am J Sports Med 21:305–313CrossRefPubMedGoogle Scholar
  35. 35.
    Rodeo SA, Arnoczky SP, Torzilli PA et al (1993) Tendon-healing in a bone tunnel: a biomechanical and histological study in the dog. J Bone Joint Surg Am 75:1795–1803PubMedGoogle Scholar
  36. 36.
    Georgoulis AD, Papadonikolakis A, Papageorgiou CD et al (2003) Three-dimensional tibiofemoral kinematics of the anterior cruciate ligament-deficient and reconstructed knee during walking. Am J Sports Med 31:75–79PubMedGoogle Scholar
  37. 37.
    Tashman S, Collon D, Anderson K et al (2004) Abnormal rotational knee motion during running after anterior cruciate ligament reconstruction. Am J Sports Med 32:975–983CrossRefPubMedGoogle Scholar
  38. 38.
    Lucie RS, Wiedel JD, Messner DG et al (1984) The acute pivot shift: clinical correlation. Am J Sports Med 12:189–191CrossRefPubMedGoogle Scholar
  39. 39.
    Kocher MS, Steadman JR, Briggs K et al (2002) Determinants of patient satisfaction with outcome after anterior cruciate ligament reconstruction. J Bone Joint Surg Am 84:1560–1572PubMedGoogle Scholar
  40. 40.
    Hoser C, Tecklenburg K, Kuenzel KH et al (2005) Postoperative evaluation of femoral tunnel position in ACL reconstruction: plain radiography versus computed tomography. Knee Surg Sports Traumatol Arthrosc 13:256–262CrossRefPubMedGoogle Scholar
  41. 41.
    Magnussen RA, Debieux P, Benjamin B et al (2012) A CT-based classification of prior ACL femoral tunnel location for planning revision ACL surgery. Knee Surg Sports Traumatol Arthrosc 20:1298–1306CrossRefPubMedGoogle Scholar
  42. 42.
    Servien E., Lustig S., Neyret P (2010) Chirurgie itérative dans la rupture du ligament croisé antérieur. EMC (Elseveier Masson SAS, Paris), Techniques chirurgicales – Orthopédie – Traumatologie, 44–783Google Scholar
  43. 43.
    Noyes F, Barber-Westin SD (2001) Revision ACL surgery with the use of bone patellar tendon bone autogenous grafts. J Bone Joint Surg Am 83:1131–1143PubMedGoogle Scholar
  44. 44.
    Middleton KK, Hamilton T, Ittgang JJ et al (2014) Anatomic anterior cruciate ligament (ACL) reconstruction: a global perspective. Part 1. Knee Surg Sports Traumatol Arthrosc 22:1467–1482CrossRefPubMedGoogle Scholar
  45. 45.
    O’Shea JJ, Shelbourne KD (2002) Anterior cruciate ligament reconstruction using reharvested bone-patella tendon-bone graft. Am J Sports Med 30:208–213PubMedGoogle Scholar
  46. 46.
    Colosimo AJ, Heidt RS Jr, Taub JA et al (2001) Revision anterior cruciate ligament reconstruction with a reharvested ipsilateral patellar tendon. Am J Sports Med 29:746–750PubMedGoogle Scholar
  47. 47.
    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 34:1604–1614CrossRefPubMedGoogle Scholar
  48. 48.
    Brown CH Jr, Carson EW (1999) Revision anterior cruciate ligament surgery. Clin Sports Med 18:109–171CrossRefPubMedGoogle Scholar
  49. 49.
    Garofalo R, Djahangiri A, Siegrist O (2006) Revision anterior cruciate ligament reconstruction with quadriceps tendon-patellar bone autograft. Arthroscopy 22:205–214CrossRefPubMedGoogle Scholar
  50. 50.
    Grossman M, ElAttrache N, Shields C et al (2005) Revision anterior cruciate ligament reconstruction: three- to nine-year follow-up. Arthroscopy 21:418–423CrossRefPubMedGoogle Scholar
  51. 51.
    Fox J, Pierce M, Bojchuk J et al (2004) Revision anterior cruciate ligament reconstruction with nonirradiated fresh-frozen patellar tendon allograft. Arthroscopy 20:787–794CrossRefPubMedGoogle Scholar
  52. 52.
    Tomas NP, Kankate R, Wandless F et al (2005) Revision anterior cruciate ligament reconstruction using a 2-stage technique with bone grafting of the tibial tunnel. Am J Sports Med 33:1701–1709CrossRefGoogle Scholar
  53. 53.
    Kamath GV, Redfern JC, Greis PE et al (2011) Revision anterior cruciate ligament reconstruction. Am J Sports Med 39:199–217CrossRefPubMedGoogle Scholar
  54. 54.
    Said HG, Baloch K, Green M (2006) A new technique for femoral and tibial tunnel bone grafting using the OATS harvesters in revision anterior cruciate ligament reconstruction. Arthroscopy 22(796):e1–e3PubMedGoogle Scholar
  55. 55.
    Franceschi F, Papalia R, Del Buono A et al (2013) Two-stage procedure in anterior cruciate ligament revision surgery: a five-year follow-up prospective study. Int Orthop 37:1369–1374CrossRefPubMedPubMedCentralGoogle Scholar
  56. 56.
    Coats AC, Johnson DL (2012) Two-stage revision anterior cruciate ligament reconstruction: indications, review, and technique demonstration. Orthopedics 35:958–960CrossRefPubMedGoogle Scholar
  57. 57.
    Trojani C, Beaufils P, Burdin G (2012) Revision ACL reconstruction: influence of a lateral tenodesis. Knee Surg Sports Traumatol Arthrosc 20:1565–1570CrossRefPubMedGoogle Scholar
  58. 58.
    Weiler A, Schmeling A, Stohr I et al (2007) Primary versus single-stage anterior cruciate ligament reconstruction using autologous hamstring tendon grafts: a prospective matched-group analysis. Am J Sports Med 35:1643–1652CrossRefPubMedGoogle Scholar
  59. 59.
    Johnson D, Swenson T, Irrgang J et al (1996) Revision anterior cruciate ligament surgery: experience from Pittsburgh. Clin Orthop Relat Res 325:100–109CrossRefPubMedGoogle Scholar
  60. 60.
    Lind M, Lund B, Fauno P et al (2012) Medium to long-term follow-up after ACL revision. Knee Surg Sports Traumatol Arthrosc 20:166–172CrossRefPubMedGoogle Scholar
  61. 61.
    Lind M, Menhert F, Pedersen A (2009) The first results from the Danish ACL reconstruction registry: epidemiologic and 2 year follow-up results from 5,818 knee ligament reconstructions. Knee Surg Sports Traumatol Arthrosc 17:117–124CrossRefPubMedGoogle Scholar
  62. 62.
    Shelbourne D, Benner RW, Gray T (2014) Return to sports and subsequent injury rates after revision anterior cruciate ligament reconstruction with patellar tendon autograft. Am J Sports Med 42:1395–1400 [published online]CrossRefPubMedGoogle Scholar
  63. 63.
    Heckmann TP, Noyes FR, Barber-Westin SD (2010) Rehabilitation of primary and revision anterior cruciate ligament reconstructions. In: Noyes FR (ed) Noyes’ knee disorders: surgery, rehabilitation, clinical outcomes, 1st edn. Saunders, Philadelphia, pp p306–p336Google Scholar

Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  • Jonathan G. Robin
    • 1
    Email author
  • Elvire Servien
    • 1
  • Philippe Neyret
    • 1
  1. 1.Department of Orthopaedic SurgeryHôpital de la Croix-RousseLyonFrance

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