Thomas J. Gill, MD ABSTRACT Revision anterior cruciate ligament (ACL) reconstruction poses a challenging situation for the surgeon. First and foremost, a diagnosis as to why the index reconstruction failed must be made – was this simply the result of a new trauma, or were there technical, diagnostic, or biological considerations associated with the index surgery that predisposed it to failure. ...

The purpose of the present study is to present the results of anterior cruciate ligament (ACL) augmentation for patients having rotational instability despite an intact vertical graft in lieu of conventional revision ACL reconstruction. ACL augmentation surgery with a horizontal graft was performed to augment a healed vertical graft on five patients and an accelerated rehabilitation protocol wa...

Primary anterior cruciate ligament (ACL) reconstruction is considered a successful surgical procedure, but the results reported for revision ACL surgery are less satisfactory. The most common cause of technical failure in primary reconstruction is tunnel misplacement, particularly on the femoral side, although an anterior placement of the tibial tunnel may lead to graft impingement and failure....

Objectives: Multiple-revision anterior cruciate ligament reconstruction (ACL-R) presents several technical challenges, often due to residual hardware, tunnel widening, or malposition. The aim of this study was compare complication rates between over-the-top (OTT) and anteromedial portal drilling (AMD) techniques in patients undergoing multiple-revision ACL-R. Methods: A retrospective cohort com...

Revision ACL reconstruction poses several challenges for the surgeon in terms of the timing of surgery and the limited graft choices. To our knowledge, there is currently no published data with regards to revision ACL reconstruction in a child. We describe the case of a 12-year-old girl who had a re-injury 4.5 months after her index primary ACL reconstruction at the age of 11 years. She sustain...

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...