BACKGROUND Revision anterior cruciate ligament (ACL) reconstruction is believed to have an inferior outcome compared with primary ACL reconstruction. The available literature on the outcome of revision ACL reconstruction is sparse compared with that for primary reconstruction. The purpose of this systematic review was to test the hypothesis that the outcome of revision ACL reconstruction compar...

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Anterior cruciate ligament (ACL) injuries occur repeatedly in Special Operations Forces (SOF). In this study, we sought to determine whether military patients requiring a second (i.e., revision) ACL reconstruction in the same knee had a lower rate of return to full duty and greater chance of medical discharge versus those undergoing first-time (i.e., primary) ACL knee surgery. A single- institu...

BACKGROUND Patient outcomes and predictors of success after revision anterior cruciate ligament (ACL) reconstruction are currently limited in the literature. Existing studies either have a small study size or are difficult to interpret because of the multiple surgeons involved in the care of the study sample. PURPOSE To determine patient outcomes and predictors of success or failure after a s...

An increasing number of revision ACL reconstructions are being performed each year. Revision ACL surgery is challenging and cannot be approached in the same manner as primary ACL surgery. Successful revision ACL surgery requires a detailed history, a comprehensive physical examination, appropriate radiologic studies, and careful preoperative planning. The results of revision ACL surgery do not ...

  The present review classifies and describes the multifactorial causes of anterior cruciate ligament (ACL) surgery failure, concentrating on preventing and resolving such situations. The article particularly focuses on those causes that require ACL revision due to recurrent instability, without neglecting those that affect function or produce persistent pain. Although primary ACL reconstructio...

Despite the marked advances in treatment and highly predictable success of anterior cruciate ligament (ACL) reconstruction, an approximate 10% to 15% failure rate is noted in the literature. The mechanism of failure is often difficult to ascertain and is often multifactorial. A strong patient-physician relationship must be established to proceed with revision ACL reconstruction. After the decis...

The development of synthetic grafts as an alternative to biological grafts for reconstruction of the anterior cruciate ligament dates from 1980. The interest is awakened due to the potential advantages of: The absence of morbidity associated with donor site, and early return to sport . However, this surgical technique has had multiple complications associated with graft: mechanical failures (sy...

Revision anterior cruciate ligament (ACL) reconstruction is substantially more challenging than primary reconstruction. Management of previously malpositioned or widened tunnels often requires innovative approaches for managing bony defects. Massive osteolysis with poor bone stock and convergence or overlapping of revision tunnels into the previously placed tunnels may necessitate a staged revi...