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- W2014492336 abstract "Middle age patients who have failed anterior cruciate reconstruction and develop osteoarthritis present a significant challenge in orthopedic surgery. A clear understanding of the patient's symptoms must be obtained. Patients being considered for revision surgery should be well motivated, demonstrate increased anterior laxity on physical examination, and suffer from instability with activities of daily living. The etiology of failure can be established by a thorough history and physical examination, as well as appropriate radiologic studies. Poor outcome following ACL reconstruction may be caused by loss of motion, extensor mechanism dysfunction, arthritis or graft failure. The most common errors in surgical technique leading to recurrent laxity are nonanatomic tunnel position and failure to address associated instabilities. Technically successful revision depends on appropriate graft selection, hardware removal, anatomic tunnel positioning and correction of associated instabilities and skeletal malalignment. Results of revision ACL surgery may be inferior to those of primary reconstruction. The outcome is largely dependent on the integrity of the meniscal and articular cartilage. In the middle age patient with osteoarthritis of the knee, revision ACL surgery should be considered a salvage procedure whose primary goal is restoration of stability with activities of daily living." @default.
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- W2014492336 date "2003-06-01" @default.
- W2014492336 modified "2023-09-26" @default.
- W2014492336 title "Failed Anterior Cruciate Ligament Surgery in the Middle Age Arthritic Knee" @default.
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- W2014492336 doi "https://doi.org/10.1097/00132585-200311020-00007" @default.
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