Anterior cruciate ligament failure and management
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- dc.contributor.author Monllau García, Juan Carlos
- dc.contributor.author Perelli, Simone
- dc.contributor.author Costa, Giuseppe Gianluca
- dc.date.accessioned 2024-03-01T07:30:55Z
- dc.date.available 2024-03-01T07:30:55Z
- dc.date.issued 2023
- dc.description.abstract Anterior cruciate ligament (ACL) reconstruction failure can be defined as abnormal knee function due to graft insufficiency with abnormal laxity or failure to recreate a functional knee according to the expected outcome. Traumatic ruptures have been reported as the most common reason for failure. They are followed by technical errors, missed concomitant knee injuries, and biological failures. An in-depth preoperative examination that includes a medical history, clinical examinations, advanced imaging, and other appropriate methods is of utmost importance. There is still no consensus as to the ideal graft, but autografts are the favorite choice even in ACL revision. Concomitant meniscal treatment, ligamentous reconstruction, and osteotomies can be performed in the same surgical session to remove anatomical or biomechanical risk factors for the failure. Patient expectations should be managed since outcomes after ACL revision are not as good as those following primary ACL reconstruction.
- dc.format.mimetype application/pdf
- dc.identifier.citation Monllau JC, Perelli S, Costa GG. Anterior cruciate ligament failure and management. EFORT Open Rev. 2023 May 9;8(5):231-44. DOI: 10.1530/EOR-23-0037
- dc.identifier.doi http://dx.doi.org/10.1530/EOR-23-0037
- dc.identifier.issn 2058-5241
- dc.identifier.uri http://hdl.handle.net/10230/59297
- dc.language.iso eng
- dc.publisher BioScientifica
- dc.relation.ispartof EFORT Open Rev. 2023 May 9;8(5):231-44
- dc.rights This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (http://creativecommons.org/licenses/by-nc/4.0/).
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by-nc/4.0/
- dc.subject.keyword Anterior cruciate ligament failure
- dc.subject.keyword Anterior cruciate ligament revision
- dc.subject.keyword Graft choice
- dc.subject.keyword Instructional lecture
- dc.subject.keyword Osteotomy
- dc.subject.keyword Outcomes
- dc.subject.keyword Posterior tibial slope
- dc.subject.keyword Preoperative planning
- dc.title Anterior cruciate ligament failure and management
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion