This practical guide to surgical repair of failed or compromised anterior cruciate ligament (ACL) reconstructions reviews the basics of diagnosing a failed ACL reconstruction, imaging and preoperative planning and common causes of ACL reconstruction failures.
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.
Inhaltsverzeichnis
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.