Vergis A, Gillquist J
Department of Sports Medicine, University Hospital, Linköping, Sweden.
Arthroscopy. 1995 Jun;11(3):312-21. doi: 10.1016/0749-8063(95)90009-8.
There exists a substantial group of patients with unsatisfactory results following anterior cruciate ligament (ACL) reconstructions. This may be attributable to graft failure. Revision surgery, for the correction of abnormal anterior translation of laxity, requires a careful analysis of the causes of failure to ensure the success of the salvage procedure. This review attempts to present an overview of some of the important studies in the literature pertaining to the intraoperative and postoperative factors that probably cause graft failure. It was done by initial identification of the articles from a Medline database followed by the use of cross references. It shows that failures can be minimised by adhering to the correct operative and post-operative techniques wherein proper attention to the factors, such as: adequate notchplasty, proper tunnel placements, proper tensioning, adequate fixation, optimal selection and harvest of the graft, and rehabilitation, are ensured.
有相当一部分患者在接受前交叉韧带（ACL）重建术后效果不理想。这可能归因于移植物失败。为纠正松弛导致的异常前向平移而进行的翻修手术，需要仔细分析失败原因，以确保挽救手术的成功。本综述试图概述文献中一些关于可能导致移植物失败的术中及术后因素的重要研究。通过首先从Medline数据库中识别文章，然后使用交叉参考文献来完成。结果表明，通过坚持正确的手术和术后技术，其中确保对诸如：充分的髁间窝成形术、正确的隧道放置、正确的张力调节、充分的固定、移植物的最佳选择和获取以及康复等因素给予适当关注，可以将失败率降至最低。
