2026-04-14T05:07:56Zhttps://recercat.cat/oai/requestoai:recercat.cat:10230/592972025-12-24T08:30:27Zcom_2072_6col_2072_452952
RECERCAT
author
Monllau García, Juan Carlos
author
Perelli, Simone
author
Costa, Giuseppe Gianluca
2024-03-01T07:30:55Z2024-03-01T07:30:55Z2023
Anterior cruciate ligament (ACL) reconstruction failure can be defined as abnormal knee function due to graft insufficiency with abnormal laxity or failure to recreate a functional knee according to the expected outcome. Traumatic ruptures have been reported as the most common reason for failure. They are followed by technical errors, missed concomitant knee injuries, and biological failures. An in-depth preoperative examination that includes a medical history, clinical examinations, advanced imaging, and other appropriate methods is of utmost importance. There is still no consensus as to the ideal graft, but autografts are the favorite choice even in ACL revision. Concomitant meniscal treatment, ligamentous reconstruction, and osteotomies can be performed in the same surgical session to remove anatomical or biomechanical risk factors for the failure. Patient expectations should be managed since outcomes after ACL revision are not as good as those following primary ACL reconstruction.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (http://creativecommons.org/licenses/by-nc/4.0/). http://creativecommons.org/licenses/by-nc/4.0/ info:eu-repo/semantics/openAccess
Anterior cruciate ligament failure
Anterior cruciate ligament revision
Graft choice
Instructional lecture
Osteotomy
Outcomes
Posterior tibial slope
Preoperative planning
Anterior cruciate ligament failure and management
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion