Cheatham Seth A, Johnson Darren L
Virginia Commonwealth University Sports Medicine, Richmond, VA, USA.
Sports Med Arthrosc Rev. 2010 Mar;18(1):33-9. doi: 10.1097/JSA.0b013e3181c14998.
Anterior cruciate ligament (ACL) injuries are common in the athletic population. In fact, ACL reconstruction has become one of the most common orthopedic procedures with over 100,000 being performed annually. As the number of primary ACL reconstructions continues to increase, so will the need for revision surgery. The causes of failure are numerous and multifactorial. However, understanding the exact cause of failure before undertaking a revision ACL surgery is paramount in providing the patient with a successful outcome. It is our belief that anatomic restoration of ACL anatomy in the revision setting is best accomplished using the double-bundle technique in the majority of cases. This is a technically demanding procedure that requires proper preoperative preparation. This article outlines our approach to these challenging situations.
前交叉韧带（ACL）损伤在运动员群体中很常见。事实上，ACL重建已成为最常见的骨科手术之一，每年进行的手术超过10万例。随着初次ACL重建手术数量的持续增加，翻修手术的需求也会增加。失败的原因众多且具有多因素性。然而，在进行ACL翻修手术之前了解确切的失败原因对于为患者提供成功的治疗结果至关重要。我们认为，在大多数情况下，采用双束技术在翻修手术中对ACL进行解剖重建是最佳方法。这是一项技术要求很高的手术，需要进行适当的术前准备。本文概述了我们处理这些具有挑战性情况的方法。
