ACL revision in athletes

A. Achtnich; A. B. Imhoff; M. J. Feucht

doi:10.1016/j.orthtr.2018.02.005

ACL revision in athletes

Translated title of the contribution: ACL revision in athletes

A. Achtnich, A. B. Imhoff, M. J. Feucht

Technical University of Munich

Research output: Contribution to journal › Review article › peer-review

Abstract

Young and sportive Athletes, aged between 15 and 20 years, have the highest risk of reinstability. Besides clinical examination, an extended radiological examination is important following primary anterior cruciate ligament (ACL) reconstruction. Especially within the first two years, the risk of reinjury is very high. Indications for revision ACL surgery include re-rupture, persistent or increasing instability due to concomitant ligament instability being untreated, and technical or biological failure. Therefore, a comprehensive analysis of failure causes is necessary. Besides clinical examination, an extended radiological examination is important. Furthermore, graft choice depends on already used grafts. Medical history and clinical examination are also helpful to find the right treatment strategy in revision cases. Essential for success following revision ACL reconstruction are well-informed patients and a controlled retu to play.

Translated title of the contribution	ACL revision in athletes
Original language	English
Pages (from-to)	125-131
Number of pages	7
Journal	Sport-Orthopadie - Sport-Traumatologie
Volume	34
Issue number	2
DOIs	https://doi.org/10.1016/j.orthtr.2018.02.005
State	Published - May 2018
Externally published	Yes

Keywords

ACL revision
bone tunnel
concomitant injury
osteotomy

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10.1016/j.orthtr.2018.02.005

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title = "ACL revision in athletes",

abstract = "Young and sportive Athletes, aged between 15 and 20 years, have the highest risk of reinstability. Besides clinical examination, an extended radiological examination is important following primary anterior cruciate ligament (ACL) reconstruction. Especially within the first two years, the risk of reinjury is very high. Indications for revision ACL surgery include re-rupture, persistent or increasing instability due to concomitant ligament instability being untreated, and technical or biological failure. Therefore, a comprehensive analysis of failure causes is necessary. Besides clinical examination, an extended radiological examination is important. Furthermore, graft choice depends on already used grafts. Medical history and clinical examination are also helpful to find the right treatment strategy in revision cases. Essential for success following revision ACL reconstruction are well-informed patients and a controlled retu to play.",

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TY - JOUR

T1 - ACL revision in athletes

AU - Achtnich, A.

AU - Imhoff, A. B.

AU - Feucht, M. J.

PY - 2018/5

Y1 - 2018/5

N2 - Young and sportive Athletes, aged between 15 and 20 years, have the highest risk of reinstability. Besides clinical examination, an extended radiological examination is important following primary anterior cruciate ligament (ACL) reconstruction. Especially within the first two years, the risk of reinjury is very high. Indications for revision ACL surgery include re-rupture, persistent or increasing instability due to concomitant ligament instability being untreated, and technical or biological failure. Therefore, a comprehensive analysis of failure causes is necessary. Besides clinical examination, an extended radiological examination is important. Furthermore, graft choice depends on already used grafts. Medical history and clinical examination are also helpful to find the right treatment strategy in revision cases. Essential for success following revision ACL reconstruction are well-informed patients and a controlled retu to play.

AB - Young and sportive Athletes, aged between 15 and 20 years, have the highest risk of reinstability. Besides clinical examination, an extended radiological examination is important following primary anterior cruciate ligament (ACL) reconstruction. Especially within the first two years, the risk of reinjury is very high. Indications for revision ACL surgery include re-rupture, persistent or increasing instability due to concomitant ligament instability being untreated, and technical or biological failure. Therefore, a comprehensive analysis of failure causes is necessary. Besides clinical examination, an extended radiological examination is important. Furthermore, graft choice depends on already used grafts. Medical history and clinical examination are also helpful to find the right treatment strategy in revision cases. Essential for success following revision ACL reconstruction are well-informed patients and a controlled retu to play.

KW - ACL revision

KW - bone tunnel

KW - concomitant injury

KW - osteotomy

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ACL revision in athletes

Abstract

Keywords

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