TY - JOUR ID - 4584 TI - Failure of Anterior Cruciate Ligament Reconstruction JO - The Archives of Bone and Joint Surgery JA - ABJS LA - en SN - 2345-4644 AU - Samitier, Gonzalo AU - Marcano, Alejandro AU - Alentorn-Geli, Eduard AU - Cugat, Ramon AU - Farmer, Kevin AU - Moser, Micheal AD - Department of Orthopaedics and Rehabilitation, University of Florida, Gainesville, USA AD - Duke Sport Sciences Institute, Department of Orthopaedic Surgery, Duke University, Durham, NC, USA AD - Garcia-Cugat Foundation, Barcelona, Spain Mutualidad de Futbolistas, Federación Española de Fútbol, Delegación Cataluña, Barcelona, Spain Artroscopia gc, Hospital Quirón, Barcelona, Spain Y1 - 2015 PY - 2015 VL - 3 IS - 4 SP - 220 EP - 240 KW - ACL reconstruction KW - ACL revision KW - Allografts KW - Autografts KW - Failure of ACL reconstruction KW - Instability KW - Pain KW - Review DO - 10.22038/abjs.2015.4584 N2 -   The present review classifies and describes the multifactorial causes of anterior cruciate ligament (ACL) surgery failure, concentrating on preventing and resolving such situations. The article particularly focuses on those causes that require ACL revision due to recurrent instability, without neglecting those that affect function or produce persistent pain. Although primary ACL reconstruction has satisfactory outcome rates as high as 97%, it is important to identify the causes of failure, because satisfactory outcomes in revision surgery can drop to as much as 76%. It is often possible to identify a primary or secondary cause of ACL surgery failure; even the most meticulous planning can give rise to unexpected findings during the intervention. The adopted protocol should therefore be sufficiently flexible to adapt to the course of surgery. Preoperative patient counseling is essential. The surgeon should limit the patient’s expectations for the outcome by explaining the complexity of this kind of procedure. With adequate preoperative planning, close attention to details and realistic patient expectations, ACL revision surgery may offer beneficial and satisfactory results for the patient. UR - https://abjs.mums.ac.ir/article_4584.html L1 - https://abjs.mums.ac.ir/article_4584_efd945720468b7a3027732d6bb8d4c79.pdf ER -