Although anterior cruciate ligament (ACL) reconstruction has a high success rate, a substantial number of patients are left with unsatisfactory results. Revision ACL Reconstruction: Indications and Technique provides detailed strategies for planning and executing revision ACL reconstructions. Concise chapters by a leading group of international orthopedic surgeons cover the diagnosis of failed ACL reconstruction, patient evaluation, preoperative planning for revision ACL surgery and complex technical considerations.
Robert G. Marx, MD, Professor of Orthopedic Surgery, Hospital for Special Surgery, Weill Cornell Medical College, New York, NY, USA
Patient-related risk factors for ACL graft failure.- Avoiding the failed ACL: how to prevent ACL tears before they occur.- Diagnosis of failed ACL reconstruction.- Biomechanics and Etiology of ACL graft failure.- Technical causes of ACL graft failure.- Indications for revision ACL reconstruction.- Preoperative planning for revision ACL reconstruction.- Graft selection for revision ACL reconstruction.- How to handle a poorly placed femoral tunnel.- How to handle a poorly placed tibial tunnel.- Fixation in revision ACL reconstruction.- Single stage ACL revision reconstruction: indications and technique.- Two stage ACL revision: indications and technique.- Revising failed double-bundle ACL reconstruction.- The role of lateral extra-arcticular augmentation in revision ACL reconstruction.- Managing the infected ACL reconstruction.- Meniscus allograft transplantation in revision ACL reconstruction.- Cartilage surgery in revision ACL reconstruction.- Medial collateral ligament laxity in revision ACL reconstruction.- Posterolateral corner deficiency in revision ACL reconstruction.- Osteotomy for slope correction following failed ACL reconstruction.- Osteotomy for malalignment following failed ACL reconstruction.- Navigation for revision ACL reconstruction.- Approach to the multiply revised ACL knee.- Outcomes of revision ACL.