Anterior cruciate ligament (ACL) reconstruction surgery is one of the most frequently
performed operative procedures in orthopaedic surgery. There are estimates that 100,000
new ACL injuries occur annually. Marked improvements have occurred in the last 15
years with regard to graft selection, tunnel placement, graft fixation, and rehabilitation
that have resulted in predictable outcomes for ACL surgery using patellar tendon,
hamstring, quadriceps tendon, autograft, and allograft tissues. Nevertheless, most
studies report a clinical failure rate of between 10% and 15% at short- and intermediate-term
follow-ups.
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Increasing numbers of ACL reconstruction failures are being seen.
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The purpose of this article is to discuss the etiology of failure, approaches to
the failed ACL patient, surgical technique issues, and results of revision ACL surgery.
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© 2003 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
