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• W3090753603 abstract "Abstract Reconstructive Anterior Cruciate Ligament surgery (ACLR) is a common sports related injury, with success rates of above 75% in the literature. Many patients are athletes that expect to return to their previous level of play postoperatively. Despite the high success rate of ACL reconstruction, the procedure is not without complications that ultimately require a revision operation. While some literature suggests comparable outcomes of revision ACL reconstruction (RACLR), others purport only a 54% return to previous activity level in patients. Furthermore, the procedure can be more technically challenging depending on the patient anatomy, activity level, and type of graft used in the index procedure. This chapter highlights the various pitfalls that may occur throughout the process of ACLR revision surgery. The surgeon should meticulously evaluate factors that may have led to the initial graft’s failure, as covered in the preoperative section. The most common reason for failure is improperly positioned tunnels at the time of initial reconstructive surgery, however several other factors may predispose patients to ruptured grafts including tibial slope, concomitant ligamentous injuries, and osteolysis at the bone-graft interface. Oftentimes, RACLR requires a staged procedure to address initial tunnel issues. The algorithm for utilizing bony dowels to reposition tunnels, complications that arise with their use, and the evaluation of graft incorporation is outlined in the intraoperative section. Lastly, RACLR has many of the same complications as the index reconstructive procedure, notably arthrofibrosis, venous thrombi, and infection, which is highlighted in the postoperative section. Ultimately, more high-level research is needed to identify the exact method of maximizing patient outcomes in RACLR and rehabilitation protocols in the postoperative period." @default.
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• W3090753603 date "2019-01-01" @default.
• W3090753603 modified "2023-10-14" @default.
• W3090753603 title "Complications in Anterior Cruciate Ligament Revision Reconstruction" @default.
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• W3090753603 doi "https://doi.org/10.1016/b978-0-323-54598-3.00011-4" @default.
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