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Revision anterior cruciate ligament surgery

      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.
      • Bach Jr, B.R.
      • Jones G.T.
      • Sweet F.A.
      • Hager C.A.
      Arthroscopy-assisted anterior cruciate ligament reconstruction using patellar tendon substitution. Two- to four-year follow-up results.
      ,
      • Bach Jr, B.R.
      • Levy M.E.
      • Bojchuk J.
      • Tradonsky S.
      • Bush-Joseph C.A.
      • Khan N.H.
      Single-incision endoscopic anterior cruciate ligament reconstruction using patellar tendon autograft. Minimum two-year follow-up evaluation.
      ,
      • Bach Jr, B.R.
      • Tradonsky S.
      • Bojchuk J.
      • Levy M.E.
      • Bush-Joseph C.A.
      • Khan N.H.
      Arthroscopically assisted anterior cruciate ligament reconstruction using patellar tendon autograft. Five- to nine-year follow-up evaluation.
      Increasing numbers of ACL reconstruction failures are being seen.
      • Williams III, R.J.
      • Warren R.F.
      • Carson E.W.
      • Wickiewicz T.L.
      Revision anterior cruciate ligament reconstruction The Hospital for Special Surgery experience.
      ,
      • Steadman J.R.
      • Saterbak A.M.
      Revision anterior cruciate ligament reconstruction Techniques and tips—The Vail experience.
      ,
      • Clancy Jr, W.G.
      • Pietropaoli M.P.
      Revision anterior cruciate ligament reconstruction using the “anatomic-endoscopic” method.
      ,
      • Bach Jr, B.R.
      • Mazzocca A.
      • Fox J.A.
      Revision anterior cruciate ligament surgery.
      ,
      • Brown Jr, C.H.
      • Carson E.W.
      Revision anterior cruciate ligament surgery.
      ,
      • Barber F.A.
      • McGuire D.A.
      • Johnson D.H.
      Should allografts be used for routine anterior cruciate ligament reconstructions?.
      ,
      • Noyes F.R.
      • Barber-Westin S.D.
      Revision anterior cruciate ligament reconstruction Report of 11-year experience and results in 114 consecutive patients.
      ,
      • Uribe J.W.
      • Hechtman K.S.
      • Zvijac J.E.
      • Tjin A.T.E.W.
      Revision anterior cruciate ligament surgery Experience from Miami.
      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.
      • Bach Jr, B.R.
      • Mazzocca A.
      • Fox J.A.
      Revision anterior cruciate ligament surgery.
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      References

        • Bach Jr, B.R.
        • Jones G.T.
        • Sweet F.A.
        • Hager C.A.
        Arthroscopy-assisted anterior cruciate ligament reconstruction using patellar tendon substitution. Two- to four-year follow-up results.
        Am J Sports Med. 1994; 22: 758-767
        • Bach Jr, B.R.
        • Levy M.E.
        • Bojchuk J.
        • Tradonsky S.
        • Bush-Joseph C.A.
        • Khan N.H.
        Single-incision endoscopic anterior cruciate ligament reconstruction using patellar tendon autograft. Minimum two-year follow-up evaluation.
        Am J Sports Med. 1998; 26: 30-40
        • Bach Jr, B.R.
        • Tradonsky S.
        • Bojchuk J.
        • Levy M.E.
        • Bush-Joseph C.A.
        • Khan N.H.
        Arthroscopically assisted anterior cruciate ligament reconstruction using patellar tendon autograft. Five- to nine-year follow-up evaluation.
        Am J Sports Med. 1998; 26: 20-29
        • Williams III, R.J.
        • Warren R.F.
        • Carson E.W.
        • Wickiewicz T.L.
        Revision anterior cruciate ligament reconstruction.
        Tech Orthop. 1998; 13: 375-383
        • Steadman J.R.
        • Saterbak A.M.
        Revision anterior cruciate ligament reconstruction.
        Tech Orthop. 1998; 13: 384-390
        • Clancy Jr, W.G.
        • Pietropaoli M.P.
        Revision anterior cruciate ligament reconstruction using the “anatomic-endoscopic” method.
        Tech Orthop. 1998; 13: 391-410
        • Bach Jr, B.R.
        • Mazzocca A.
        • Fox J.A.
        Revision anterior cruciate ligament surgery.
        in: Grana W.A. Orthopaedic knowledge online. American Academy of Orthopaedic Surgeons, Rosemont, IL2003 (Available at www.aaos.org/oko. Accessed May 15, 2003)
        • Brown Jr, C.H.
        • Carson E.W.
        Revision anterior cruciate ligament surgery.
        Clin Sports Med. 1999; 18: 109-171
        • Barber F.A.
        • McGuire D.A.
        • Johnson D.H.
        Should allografts be used for routine anterior cruciate ligament reconstructions?.
        Arthroscopy. 2003; 19: 421-425
        • Noyes F.R.
        • Barber-Westin S.D.
        Revision anterior cruciate ligament reconstruction.
        Instr Course Lect. 2001; 50: 451-461
        • Uribe J.W.
        • Hechtman K.S.
        • Zvijac J.E.
        • Tjin A.T.E.W.
        Revision anterior cruciate ligament surgery.
        Clin Orthop. 1996; 325: 91-99
        • Novak P.J.
        • Williams J.S.
        • Wexler G.
        • Bach Jr, B.R.
        • Bush-Joseph C.A.
        Comparison of screw post fixation and free bone block interference fixation for anterior cruciate ligament soft tissue grafts.
        Arthroscopy. 1996; 12: 470-473
        • Dworsky B.
        • Jewell B.F.
        • Bach Jr, B.R.
        Interference screw divergence in endoscopic anterior cruciate ligament reconstruction.
        Arthroscopy. 1996; 12: 45-49
        • Bush-Joseph C.A.
        • Bach Jr, B.R.
        Migration of femoral interferences screw after anterior cruciate ligament reconstruction.
        Am J Knee Surg. 1998; 11: 32-34
        • Hamner D.L.
        • Brown Jr, C.H.
        • Steiner M.E.
        • et al.
        Hamstring tendon grafts for reconstruction of the anterior cruciate ligament.
        J Bone Joint Surg Am. 1999; 81: 549-557
        • Kousa P.
        • Jarvinen T.L.N.
        • Vihavainen M.
        • Kannus P.
        • Jarvinen M.
        The fixation strength of six hamstring tendon graft fixation devices in anterior cruciate ligament reconstruction. Part I: Femoral site.
        Am J Sports Med. 2003; 31: 174-181
        • Kousa P.
        • Jarvinen T.L.N.
        • Vihavainen M.
        • Kannus P.
        • Jarvinen M.
        The fixation strength of six hamstring tendon graft fixation devices in anterior cruciate ligament reconstruction. Part I: Tibial site.
        Am J Sports Med. 2003; 31: 182-188
        • Brand Jr, J.C.
        • Pienkowski D.
        • Steenlage E.
        • et al.
        Interference screw fixation strength of a quadrupled hamstring tendon graft is directly related to bone mineral density and insertion torque.
        Am J Sports Med. 2000; 28: 705-710
        • Caborn D.N.M.
        • Coen M.
        • Neef R.
        • et al.
        Quadrupled semitendinosus-gracillis autograft fixation in the femoral tunnel.
        Arthroscopy. 1998; 14: 241-245
        • Giurea M.
        • Zorilla P.
        • Amis A.A.
        • et al.
        Comparative pull-out and cyclic-loading strength tests of anchorage of hamstring tendon grafts in anterior cruciate ligament reconstruction.
        Am J Sports Med. 1999; 27: 621-625
        • Magen H.E.
        • Howell S.M.
        • Hull M.L.
        Structural properties of six tibial fixation methods for anterior cruciate ligament soft tissue grafts.
        Am J Sports Med. 1999; 27: 35-43
        • O’Brien S.J.
        • Warren R.F.
        • Pavlov H.
        • Panariello R.
        • Wickiewicz T.L.
        Reconstruction of the chronically insufficient ACL with the central third of the patellar ligament.
        J Bone Joint Surg Am. 1991; 73: 278-286
        • Daniel D.M.
        • Malcolm L.L.
        • Losse G.
        • Stone M.L.
        • Sachs R.
        • Burks R.
        Instrumented measurement of anterior laxity of the knee.
        J Bone Joint Surg Am. 1985; 67: 720-726
        • Bach Jr, B.R.
        • Warren R.F.
        • Wickiewicz T.L.
        The pivot-shift phenomenon.
        Am J Sports Med. 1988; 16: 571-576
        • Bush-Joseph C.
        • Bach Jr, B.R.
        • Bryan J.
        Posterior cortical violation during endoscopic ACL reconstruction.
        Am J Knee Surg. 1995; 8: 130-133
        • Bach Jr, B.R.
        Special report—Observations on interference screw morphologies.
        Arthroscopy. 2000; 16 (Available at www.arthroscopyjournal.org): E10
        • Adams D.J.
        • Curran A.R.
        • Koneczny S.
        • Utz M.
        • Steiner M.E.
        • Scheller A.D.
        Cyclic creep and failure of paired human patellar tendon allografts sterilized by allowash versus allowash plus low dose gamma irradiation.
        Proc Orthop Res Soc. 2001; 739
        • Fideler B.M.
        • Vangsness Jr, C.T.
        • Lu B.
        • Orlando C.
        • Moore T.
        Gamma irradiation.
        Am J Sports Med. 1995; 23: 643-646
        • Hardin G.T.
        • Bach Jr, B.R.
        • Bush-Joseph C.A.
        Endoscopic single-incision anterior cruciate ligament reconstruction using patellar tendon autograft. Case Report.
        Am J Knee Surg. 1992; 5: 144-155
        • Bach Jr, B.R.
        Arthroscopy-assisted patellar tendon substitution for anterior cruciate ligament insufficiency. Surgical techniques.
        Am J Knee Surg. 1989; 2: 3-20
        • Ferrari J.D.
        • Bush-Joseph C.A.
        • Bach Jr, B.R.
        Endoscopic anterior cruciate ligament reconstruction with patellar tendon autograft.
        Tech Orthop. 1998; 13: 262-274
        • Ferrari J.D.
        • Bach Jr, B.R.
        Posterolateral Instability of the Knee.
        Sports Med Arthrosc Rev. 1999; 7: 273-288
        • O’Donnell J.B.
        • Scerpella T.A.
        Endoscopic anterior cruciate ligament reconstruction.
        Arthroscopy. 1995; 11: 577-584
        • Roos E.M.
        • Roos H.P.
        • Lohmander L.S.
        • Ekdahl C.
        • Beynnon B.D.
        Knee Injury and Osteoarthritis Outcome Score (KOOS)—Development of a self-administered outcome measure.
        J Orthop Sports Phys Ther. 1998; 28: 88-96
        • Anderson A.F.
        Rating scales.
        in: Fu F.H. Harner C.D. Vince K.G. Knee surgery. Williams & Wilkins, Baltimore1994: 275-296
        • Noyes F.R.
        The Noyes Knee Rating System. An assessment of subjective, objective, ligamentous, and functional parameters. Sports Medicine and Research and Education Foundation, Cincinnati1990
        • Tegner Y.
        • Lysholm J.
        Rating systems in the evaluation of knee ligament injuries.
        Clin Orthop. 1985; 198: 43-49
        • Lysholm J.
        • Gillquist J.
        Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale.
        Am J Sports Med. 1982; 10: 150-154
        • Bach Jr, B.R.
        • Warren R.F.
        • Flynn W.M.
        • Kroll M.
        • Wickiewicz T.L.
        Arthrometric evaluation of knees that have a torn anterior cruciate ligament.
        J Bone Joint Surg Am. 1990; 72: 1299-1306
        • Noyes F.R.
        • Barber-Westin S.D.
        • Roberts C.S.
        Use of allografts after failed treatment of rupture of the anterior cruciate ligament.
        J Bone Joint Surg Am. 1994; 76: 1019-1031
        • Noyes F.R.
        • Barber-Westin S.D.
        Revision anterior cruciate surgery with use of bone-patellar tendon-bone autogenous grafts.
        J Bone Joint Surg Am. 2001; 83: 1131-1143
        • Johnson D.L.
        • Swenson T.M.
        • Irrgang J.J.
        • Fu F.H.
        • Harner C.D.
        Revision anterior cruciate ligament surgery.
        Clin Orthop. 1996; 325: 100-109