Revision nach fehlgeschlagener VKB-Plastik

Translated title of the contribution: Revision surgery following failed ACL reconstruction

V. Martinek, A. B. Imhoff

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

Failures of ACL reconstruction still occur despite improved arthroscopic methods and new technical instruments. The reasons for failures, which are mostly related to technical surgical errors, must be recognized, analyzed, and considered for the planning and execution of revision ACL surgery. This review article describes the reasons for failed ACL reconstructions, indications, preoperative evaluation, planning, and performance of the operative procedure as well as the issue of rehabilitation. The strategies are evaluated for graft selection, staging of the revision, and the steps of the operative procedure including hardware removal, tunnel placement, graft fixation, or additional operations. Special attention is given to the dilemma of arthrofibrosis and its management in ACL revision cases. Since the results are worse after revision than following primary ACL surgery, the operative procedure has to be tailored to the needs of the patient, planned carefully, and performed by an experienced knee surgeon.

Translated title of the contributionRevision surgery following failed ACL reconstruction
Original languageGerman
Pages (from-to)778-784
Number of pages7
JournalOrthopade
Volume31
Issue number8
DOIs
StatePublished - 2002

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