Failed reconstruction of the anterior cruciate ligament (ACL) in a young, active patient represents a difficult clinical problem. Numerous factors contribute to failure, including repeat trauma, technical errors, biologic influences, or a combination of causes. Technical errors commonly include femoral and tibial tunnel malposition, inadequate graft fixation, failure to address associated poste...

BACKGROUND Patient outcomes and predictors of success after revision anterior cruciate ligament (ACL) reconstruction are currently limited in the literature. Existing studies either have a small study size or are difficult to interpret because of the multiple surgeons involved in the care of the study sample. PURPOSE To determine patient outcomes and predictors of success or failure after a s...

BACKGROUND Between 5 and 20% of patients undergoing ACL reconstruction fail and require revision. Animal studies have demonstrated slower incorporation of allograft tissue, which may affect the mechanism of graft failure. The purpose of this study is to determine the location of traumatic graft failure following ACL reconstruction and investigate differences in failure patterns between autograf...

background anterior cruciate ligament (acl) injury is the most common sports injury in both athletes and nonathletes; it can cause disability if not treated correctly. in cases with minor injuries, conservative treatments suffice. but, in cases with acl tear, surgery by different methods and autografts are indicated. the most prevalent method for acl reconstruction is the use of hamstring tendo...

High tibial osteotomy (HTO) is a valid treatment option for young active patients with medial tibiofemoral osteoarthrosis (OA) and varus deformity. Sometimes medial OA is combined with symptomatic anterior cruciate ligament (ACL) deficiency. Although isolated HTO (with possible delayed ACL reconstruction) might be indicated in the older population, young active patients may require combined HTO...

background: articular cartilage injuries are a common clinical problem at the time of acl reconstruction with an incidence rate of 16-46%. good results of acl reconstruction combined with the treatment of chondral lesions have been published in some studies. method: after statistical analysis 30 patients were selected and divided in 2 groups. theffirst group consisted of 15 patients wite isolat...

BACKGROUND Meniscal repair in the setting of anterior cruciate ligament (ACL) reconstruction has demonstrated superior outcomes compared with isolated meniscal repair. Limited evidence exists for the effects of biological augmentation in isolated meniscal repair, particularly as compared with meniscal repair with concomitant ACL reconstruction. Purpose/Hypothesis: The purpose of this study was ...

Despite the marked advances in treatment and highly predictable success of anterior cruciate ligament (ACL) reconstruction, an approximate 10% to 15% failure rate is noted in the literature. The mechanism of failure is often difficult to ascertain and is often multifactorial. A strong patient-physician relationship must be established to proceed with revision ACL reconstruction. After the decis...

A rare and devastating complication following anterior cruciate ligament (ACL) revision reconstruction is femoral fracture. A 35-year old male soccer player with a history of ACL tear from one year ago, who underwent arthroscopic ACL reconstruction and functioned well until another similar injury caused ACL re-rupture. Revision of ACL reconstruction was performed and after failure of graft tens...