Differences between traumatic and non-traumatic causes of ACL revision surgery

Archives of Orthopaedic and Trauma Surgery
Vera JaeckerSven Shafizadeh

Abstract

The purpose of this study was to evaluate and classify causes for anterior cruciate ligament (ACL) reconstruction failure. It was hypothesized that specific technical and biological reconstruction aspects would differ when comparing traumatic and non-traumatic ACL reconstruction failures. One hundred and forty-seven consecutive patients who experienced ACL reconstruction failure and underwent revision between 2009 and 2014 were analyzed. Based on a systematic failure analysis, including evaluation of technical information on primary ACL reconstruction and radiological assessment of tunnel positions, causes were classified into traumatic and non-traumatic mechanisms of failure; non-traumatic mechanisms were further sub-divided into technical and biologic causes. Spearman's rank correlation coefficient and chi-squared tests were performed to determine differences between groups based on various factors including graft choice, fixation technique, technique of femoral tunnel positioning, tunnel malpositioning, and time to revision. Non-traumatic, i.e., technical, and traumatic mechanisms of ACL reconstruction failure were found in 64.5 and 29.1% of patients, respectively. Biological failure was found only in 6.4% of patients. Non-a...Continue Reading

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Citations

Aug 5, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Francesco Della VillaStefano Zaffagnini
Jun 14, 2019·Archives of Orthopaedic and Trauma Surgery·Xianyue ShenJianlin Zuo
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May 1, 2021·Indian Journal of Orthopaedics·Sachin Tapasvi, Anshu Shekhar
Jul 22, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Michael J AlaiaEric J Strauss
Dec 17, 2021·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Kathleen AndräRoland Becker

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