Costa Giuseppe Gianluca, Perelli Simone, Grassi Alberto, Russo Arcangelo, Zaffagnini Stefano, Monllau Juan Carlos
Orthopaedic and Traumatologic Unit, Umberto I Hospital, Azienda Sanitaria Provinciale di Enna, C.da Ferrante, 94100, Enna, Italy.
Knee and Arthroscopy Unit, Institut Catalá de Traumatologia I Medicina de L'Esport (ICATME), Hospital Universitari Quiron Dexeus, Universitat Autonoma de Barcelona, Barcelona, Catalunya, Spain.
J Exp Orthop. 2022 Mar 15;9(1):26. doi: 10.1186/s40634-022-00461-3.
Anterior cruciate ligament (ACL) tear is one of the most common sport-related injuries and the request for ACL reconstructions is increasing nowadays. Unfortunately, ACL graft failures are reported in up to 34.2% in athletes, representing a traumatic and career-threatening event. It can be convenient to understand the various risk factors for ACL failure, in order to properly inform the patients about the expected outcomes and to minimize the chance of poor results. In literature, a multitude of studies have been performed on the failure risks after ACL reconstruction, but the huge amount of data may generate much confusion.The aim of this review is to resume the data collected from literature on the risk of graft failure after ACL reconstruction in athletes, focusing on the following three key points: individuate the predisposing factors to ACL reconstruction failure, analyze surgical aspects which may have significant impact on outcomes, highlight the current criteria regarding safe return to sport after ACL reconstruction.
前交叉韧带（ACL）撕裂是最常见的运动相关损伤之一，如今对ACL重建的需求正在增加。不幸的是，据报道运动员中ACL移植物失败率高达34.2%，这是一个创伤性且危及职业生涯的事件。了解ACL失败的各种风险因素可能会有所帮助，以便适当地告知患者预期结果，并尽量减少出现不良结果的可能性。在文献中，已经对ACL重建后的失败风险进行了大量研究，但大量的数据可能会造成很多困惑。本综述的目的是总结从文献中收集的关于运动员ACL重建后移植物失败风险的数据，重点关注以下三个关键点：确定ACL重建失败的易感因素，分析可能对结果有重大影响的手术方面，强调目前关于ACL重建后安全恢复运动的标准。
