سامانه مدیریت نشریات علمی دانشگاه علوم پزشکی مشهد

Samitier, Gonzalo, Marcano, Alejandro, Alentorn-Geli, Eduard, Cugat, Ramon, Farmer, Kevin, Moser, Micheal. (1394). Failure of Anterior Cruciate Ligament Reconstruction. , 3(4), 220-240. doi: 10.22038/abjs.2015.4584
Gonzalo Samitier; Alejandro Marcano; Eduard Alentorn-Geli; Ramon Cugat; Kevin Farmer; Micheal Moser. "Failure of Anterior Cruciate Ligament Reconstruction". , 3, 4, 1394, 220-240. doi: 10.22038/abjs.2015.4584
Samitier, Gonzalo, Marcano, Alejandro, Alentorn-Geli, Eduard, Cugat, Ramon, Farmer, Kevin, Moser, Micheal. (1394). 'Failure of Anterior Cruciate Ligament Reconstruction', , 3(4), pp. 220-240. doi: 10.22038/abjs.2015.4584
Samitier, Gonzalo, Marcano, Alejandro, Alentorn-Geli, Eduard, Cugat, Ramon, Farmer, Kevin, Moser, Micheal. Failure of Anterior Cruciate Ligament Reconstruction. , 1394; 3(4): 220-240. doi: 10.22038/abjs.2015.4584

Failure of Anterior Cruciate Ligament Reconstruction

The Archives of Bone and Joint Surgery
مقاله 2، دوره 3، شماره 4، دی 2015، صفحه 220-240    اصل مقاله (1.04 M)
نوع مقاله: CURRENT CONCEPTS REVIEW
شناسه دیجیتال (DOI): 10.22038/abjs.2015.4584
نویسندگان
Gonzalo Samitier* 1؛ Alejandro Marcano1؛ Eduard Alentorn-Geli2؛ Ramon Cugat3؛ Kevin Farmer1؛ Micheal Moser1
1Department of Orthopaedics and Rehabilitation, University of Florida, Gainesville, USA
2Duke Sport Sciences Institute, Department of Orthopaedic Surgery, Duke University, Durham, NC, USA
3Garcia-Cugat Foundation, Barcelona, Spain Mutualidad de Futbolistas, Federación Española de Fútbol, Delegación Cataluña, Barcelona, Spain Artroscopia gc, Hospital Quirón, Barcelona, Spain
چکیده
 
The present review classifies and describes the multifactorial causes of anterior cruciate ligament (ACL) surgery failure, concentrating on preventing and resolving such situations. The article particularly focuses on those causes that require ACL revision due to recurrent instability, without neglecting those that affect function or produce persistent pain. Although primary ACL reconstruction has satisfactory outcome rates as high as 97%, it is important to identify the causes of failure, because satisfactory outcomes in revision surgery can drop to as much as 76%. It is often possible to identify a primary or secondary cause of ACL surgery failure; even the most meticulous planning can give rise to unexpected findings during the intervention. The adopted protocol should therefore be sufficiently flexible to adapt to the course of surgery. Preoperative patient counseling is essential. The surgeon should limit the patient’s expectations for the outcome by explaining the complexity of this kind of procedure. With adequate preoperative planning, close attention to details and realistic patient expectations, ACL revision surgery may offer beneficial and satisfactory results for the patient.
کلیدواژه‌ها
ACL reconstruction؛ ACL revision؛ Allografts؛ Autografts؛ Failure of ACL reconstruction؛ Instability؛ Pain؛ Review
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