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First published on November 7, 2006, doi:10.1177/0363546506295026
This version was published on December 1, 2006
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The American Journal of Sports Medicine 34:2026-2037 (2006)
© 2006 American Orthopaedic Society for Sports Medicine

Clinical Sports Medicine Update

Current Concepts Review: Revision Anterior Cruciate Ligament Reconstruction

Michael S. George, MD, Warren R. Dunn, MD, MPH and Kurt P. Spindler, MD*

From Vanderbilt Sports Medicine, Vanderbilt University Medical Center, Nashville, Tennessee

* Address correspondence to Kurt P. Spindler, MD, Vanderbilt Sports Medicine, Vanderbilt Orthopaedic Institute, 4200 Medical Center East, South Tower, Nashville, TN 37232-8774 (e-mail: kurt.spindler{at}vanderbilt.edu).

Failed anterior cruciate ligament (ACL) reconstruction presents a difficult clinical challenge. Successful revision ACL reconstruction depends on identifying the causes of failure and correcting technical or diagnostic errors. Failed ACL reconstruction may be either traumatic or atraumatic. Atraumatic failures may be attributable to technical errors, diagnostic errors, or failure of graft incorporation. Published outcomes of revision ACL reconstruction have been worse than for primary ACL reconstruction. The preoperative evaluation, surgical techniques, and clinical outcomes of revision ACL reconstruction are reviewed.

Key Words: anterior cruciate ligament • ACL • revision • failure




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