Richter Dustin L, Werner Brian C, Miller Mark D
Department of Orthopaedic Surgery, University of Virginia, 400 Ray C. Hunt Drive, Suite 300, Charlottesville, VA 22903, USA.
Department of Orthopaedic Surgery, University of Virginia, 400 Ray C. Hunt Drive, Suite 300, Charlottesville, VA 22903, USA.
Clin Sports Med. 2017 Jan;36(1):173-187. doi: 10.1016/j.csm.2016.08.008.
Failed anterior cruciate ligament (ACL) reconstruction is a challenging clinical entity and revision ACL reconstruction is a technically challenging procedure. This article reviews the etiology of ACL failures, the need for appropriate examination and imaging studies, and discusses the technical considerations to allow for a successful revision reconstruction. Furthermore, we elaborate on the decision-making process of when a 2-stage revision is preferred to a single-stage revision.
前交叉韧带(ACL)重建失败是一个具有挑战性的临床问题,而ACL翻修重建在技术上是一项具有挑战性的手术。本文回顾了ACL失败的病因、进行适当检查和影像学研究的必要性,并讨论了实现成功翻修重建的技术要点。此外,我们还详细阐述了在何种情况下二期翻修优于一期翻修的决策过程。