An Update on Emerging Techniques and Considerations in Revision Anterior Cruciate Ligament Reconstruction.
JBJS Rev
; 12(7)2024 Jul 01.
Article
em En
| MEDLINE
| ID: mdl-39018384
ABSTRACT
¼ The rate of primary anterior cruciate ligament reconstruction (ACLR) failure in at-risk populations remains unacceptably high and necessitates thorough evaluation of native alignment and concomitant injuries.¼ Posterior tibial slope of >12° is a substantial risk factor of ACLR failure and should be corrected through anterior closing wedge osteotomy.¼ Varus malalignment of >5° exacerbates stress on the ACL graft, increases ACLR failure risks, and should be considered for correction through high tibial osteotomy at the time of revision ACLR.¼ Injuries to the anterolateral ligamentous complex are prevalent in ACL ruptures, and high-risk patients have shown benefit from anterolateral ligament reconstruction or lateral extra-articular tenodesis in the revision setting.¼ Addressing posterolateral corner, collateral ligament, and meniscal injuries, during revision ACLR, is vital to mitigate increased graft forces and optimize knee stability and functional outcomes.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Reoperação
/
Reconstrução do Ligamento Cruzado Anterior
Limite:
Humans
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article