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Preoperative Planning for Revision ACL Reconstruction

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Abstract

Preoperative planning for revision ACL reconstruction represents one of the most crucial steps to optimize postoperative outcomes. Three main steps should be appreciated in the planning sequence including: (1) identification of the etiology of the failed ACL reconstruction, (2) a comprehensive patient evaluation, and (3) planning of the surgical approach. Potential etiologies of failure include: technical failure, biologic failure, mechanical failure, and unrecognized concomitant injury. Each of these etiologies must be considered prior to surgery to optimize postoperative outcome. Planning of the surgical approach is of utmost importance in the revision ACL setting and should include consideration of the skin incision, tunnel widening, implanted hardware, presence of implanted prosthetic ligaments, graft selection, tunnel placement, and fixation options. Preoperative consideration of each of the failure etiologies and possible surgical pitfalls will help minimize surgical complications, decrease operative time, and maximize postoperative outcomes.

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References

  1. Brown CH. Revision anterior cruciate ligament surgery. Clin Sports Med. 1999;18:109–71.

    Article  PubMed  Google Scholar 

  2. Baer GS, Harner CD. Clinical outcomes of allograft versus autograft in anterior cruciate ligament reconstruction. Clin Sports Med. 2007;26:661–81.

    Article  PubMed  Google Scholar 

  3. Biau DJ, Tournoux C, Katsahian S, Schranz PJ, Nizard RS. Bone-patellar tendon-bone autografts versus hamstring autografts for reconstruction of anterior cruciate ligament: meta-analysis. BMJ. 2006;332:995–1001.

    Article  PubMed  Google Scholar 

  4. Spindler KP, Kuhn JE, Freedman KB, Matthews CE, Dittus RS, Harrell Jr FE. Anterior cruciate ligament reconstruction autograft choice: bone-tendon-bone versus hamstring: does it really matter? A systematic review. Am J Sports Med. 2004;32:1986–95.

    Article  PubMed  Google Scholar 

  5. Biau DJ, Tournoux C, Katsahian S, Schranz P, Nizard R. ACL reconstruction: a meta-analysis of functional scores. Clin Orthop Relat Res. 2007;458:180–7.

    PubMed  Google Scholar 

  6. Bach Jr BR. Revision anterior cruciate ligament surgery. Arthroscopy. 2003;19 Suppl 1:14.

    PubMed  Google Scholar 

  7. Wolf RS, Lemak LJ. Revision anterior cruciate ligament reconstruction surgery. J South Orthop Assoc. 2002;11:25–32.

    PubMed  Google Scholar 

  8. Harter RA, Osternig LR, Singer KM, James SL, Larson RL, Jones DC. Long-term evaluation of knee stability and function following surgical reconstruction for anterior cruciate ligament insufficiency. Am J Sports Med. 1988;16:434–43.

    Article  PubMed  CAS  Google Scholar 

  9. Howe JG, Johnson RJ, Kaplan MJ, Fleming B, Jarvinen M. Anterior cruciate ligament reconstruction using quadriceps patellar tendon graft. Part I. Long-term followup. Am J Sports Med. 1991;19:447–57.

    Article  PubMed  CAS  Google Scholar 

  10. Kaplan MJ, Howe JG, Fleming B, Johnson RJ, Jarvinen M. Anterior cruciate ligament reconstruction using quadriceps patellar tendon graft. Part II. A specific sport review. Am J Sports Med. 1991;19:458–62.

    Article  PubMed  CAS  Google Scholar 

  11. Getelman MH, Friedman MJ. Revision anterior cruciate ligament reconstruction surgery. J Am Acad Orthop Surg. 1999;7:189–98.

    PubMed  CAS  Google Scholar 

  12. Corsetti JR, Jackson DW. Failure of anterior cruciate ligament reconstruction: the biologic basis. Clin Orthop Relat Res. 1996;325:42–9.

    Article  PubMed  Google Scholar 

  13. Battaglia II MJ, Cordasco FA, Hannafin JA, et al. Results of revision anterior cruciate ligament surgery. Am J Sports Med. 2007;35:2057–66.

    Article  PubMed  Google Scholar 

  14. Kamath G, Redfern J, Greis P, Burks R. Revision anterior cruciate ligament reconstruction. Am J Sports Med. 2011;39(1):199–217.

    Article  PubMed  Google Scholar 

  15. Carson EW, Anisko EM, Restrepo C, Panariello RA, O'Brien SJ, Warren RF. Revision anterior cruciate ligament reconstruction: etiology of failures and clinical results. J Knee Surg. 2004;17:127–32.

    PubMed  Google Scholar 

  16. Woo SL, Kanamori A, Zeminski J, Yagi M, Papageorgiou C, Fu FH. The effectiveness of reconstruction of the anterior cruciate ligament with hamstrings and patellar tendon. A cadaveric study comparing anterior tibial and rotational loads. J Bone Joint Surg Am. 2002;84-A:907–14.

    PubMed  Google Scholar 

  17. Carson EW, Simonian PT, Wickiewicz TL, Warren RF. Revision anterior cruciate ligament reconstruction. Instr Course Lect. 1998;47:361–8.

    PubMed  CAS  Google Scholar 

  18. Muneta T, Yamamoto H, Ishibashi T, Asahina S, Murakami S, Furuya K. The effects of tibial tunnel placement and roofplasty on reconstructed anterior cruciate ligament knees. Arthroscopy. 1995;11:57–62.

    Article  PubMed  CAS  Google Scholar 

  19. Jaureguito JW, Paulos LE. Why grafts fail. Clin Orthop Relat Res 1996;(325):25–41.

    Google Scholar 

  20. Barker JU, Drakos MC, Maak TG, Warren RF, Williams III RJ, Allen AA. Effect of graft selection on the incidence of postoperative infection in anterior cruciate ligament reconstruction. Am J Sports Med. 2010;38:281–6.

    Article  PubMed  Google Scholar 

  21. McAllister DR, Parker RD, Cooper AE, Recht MP, Abate J. Outcomes of postoperative septic arthritis after anterior cruciate ligament reconstruction. Am J Sports Med. 1999;27:562–70.

    PubMed  CAS  Google Scholar 

  22. Schulz AP, Gotze S, Schmidt HG, Jurgens C, Faschingbauer M. Septic arthritis of the knee after anterior cruciate ligament surgery: a stage-adapted treatment regimen. Am J Sports Med. 2007;35:1064–9.

    Article  PubMed  Google Scholar 

  23. Van Tongel A, Stuyck J, Bellemans J, Vandenneucker H. Septic arthritis after arthroscopic anterior cruciate ligament reconstruction: a retrospective analysis of incidence, management and outcome. Am J Sports Med. 2007;35:1059–63.

    Article  PubMed  Google Scholar 

  24. Wang C, Ao Y, Wang J, Hu Y, Cui G, Yu J. Septic arthritis after arthroscopic anterior cruciate ligament reconstruction: a retrospective analysis of incidence, presentation, treatment, and cause. Arthroscopy. 2009;25:243–9.

    Article  PubMed  Google Scholar 

  25. Shelbourne KD, Patel DV. Treatment of limited motion after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 1999;7:85–92.

    Article  PubMed  CAS  Google Scholar 

  26. Shelbourne KD, Patel DV, Martini DJ. Classification and management of arthrofibrosis of the knee after anterior cruciate ligament reconstruction. Am J Sports Med. 1996;24:857–62.

    Article  PubMed  CAS  Google Scholar 

  27. Marzo JM, Bowen MK, Warren RF, Wickiewicz TL, Altchek DW. Intraarticular fibrous nodule as a cause of loss of extension following anterior cruciate ligament reconstruction. Arthroscopy. 1992;8:10–8.

    Article  PubMed  CAS  Google Scholar 

  28. Maday MG, Harner CD, Fu F. Revision ACL surgery: evaluation and treatment. In: Feagin JAJ, editor. The crucial ligaments: diagnosis and treatment of ligamentous injuries about the knee. New York: Churchill Livingstone; 1994. p. 711–23.

    Google Scholar 

  29. Shelbourne KD, Gray T, Haro M. Incidence of subsequent injury to either knee within 5 years after anterior cruciate ligament reconstruction with patellar tendon autograft. Am J Sports Med. 2009;37:246–51.

    Article  PubMed  Google Scholar 

  30. Williams III RJ, Hyman J, Petrigliano F, Rozental T, Wickiewicz TL. Anterior cruciate ligament reconstruction with a four-strand hamstring tendon autograft. J Bone Joint Surg Am. 2004;86-A:225–32.

    PubMed  Google Scholar 

  31. Graf B, Uhr F. Complications of intra-articular anterior cruciate reconstruction. Clin Sports Med. 1988;7:835–48.

    PubMed  CAS  Google Scholar 

  32. Salmon LJ, Pinczewski LA, Russell VJ, Refshauge K. Revision anterior cruciate ligament reconstruction with hamstring tendon autograft: 5- to 9-year follow-up. Am J Sports Med. 2006;34:1604–14.

    Article  PubMed  Google Scholar 

  33. Wright RW, Dunn WR, Amendola A, et al. Risk of tearing the intact anterior cruciate ligament in the contralateral knee and rupturing the anterior cruciate ligament graft during the first 2 years after anterior cruciate ligament reconstruction: a prospective MOON cohort study. Am J Sports Med. 2007;35:1131–4.

    Article  PubMed  Google Scholar 

  34. Reinhardt KR, Hammoud S, Bowers AL, Umunna BP, Cordasco FA. Revision ACL reconstruction in skeletally mature athletes younger than 18 years. Clin Orthop Relat Res. 2012;470(3):835–42.

    Article  PubMed  Google Scholar 

  35. Rosenberg TD, Paulos LE, Parker RD, Coward DB, Scott SM. The forty-five-degree posteroanterior flexion weight-bearing radiograph of the knee. J Bone Joint Surg Am. 1988;70:1479–83.

    PubMed  CAS  Google Scholar 

  36. Amis AA, Jakob RP. Anterior cruciate ligament graft positioning, tensioning and twisting. Knee Surg Sports Traumatol Arthrosc. 1998;6 Suppl 1:S2–12.

    Article  PubMed  Google Scholar 

  37. Wetzler MJ, Bartolozzi AR, Gillespie MJ. Revision anterior cruciate ligament reconstruction. Oper Tech Sports Med. 1996;6:181–9.

    Google Scholar 

  38. Maak TG, Voos JE, Wickiewicz TL, Warren RF. Tunnel widening in revision anterior cruciate ligament reconstruction. J Am Acad Orthop Surg. 2010;18:695–706.

    PubMed  Google Scholar 

  39. Baumfeld JA, Diduch DR, Rubino LJ, et al. Tunnel widening following anterior cruciate ligament reconstruction using hamstring autograft: a comparison between double cross-pin and suspensory graft fixation. Knee Surg Sports Traumatol Arthrosc. 2008;16:1108–13.

    Article  PubMed  Google Scholar 

  40. Buelow JU, Siebold R, Ellermann A. A prospective evaluation of tunnel enlargement in anterior cruciate ligament reconstruction with hamstrings: extracortical versus anatomical fixation. Knee Surg Sports Traumatol Arthrosc. 2002;10:80.

    Article  PubMed  Google Scholar 

  41. Fauno P, Kaalund S. Tunnel widening after hamstring anterior cruciate ligament reconstruction is influenced by the type of graft fixation used: a prospective randomized study. Arthroscopy : The Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association. 2005;21:1337.

    Article  Google Scholar 

  42. Lubowitz JH, Ahmad CS, Anderson K. All-inside anterior cruciate ligament graft-link technique: second-generation, no-incision anterior cruciate ligament reconstruction. Arthroscopy : The Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association. 2011;27:717–27.

    Article  Google Scholar 

  43. Greis PE, Steadman JR. Revision of failed prosthetic anterior cruciate ligament reconstruction. Clin Orthop Relat Res. 1996;325:78–90.

    Article  PubMed  Google Scholar 

  44. Stringham DR, Pelmas CJ, Burks RT, Newman AP, Marcus RL. Comparison of anterior cruciate ligament reconstructions using patellar tendon autograft or allograft. Arthroscopy. 1996;12:414–21.

    Article  PubMed  CAS  Google Scholar 

  45. Kartus J, Stener S, Lindahl S, Eriksson BI, Karlsson J. Ipsi- or contralateral patellar tendon graft in anterior cruciate ligament revision surgery. A comparison of two methods. Am J Sports Med. 1998;26:499–504.

    PubMed  CAS  Google Scholar 

  46. Rubinstein Jr RA, Shelbourne KD, VanMeter CD, McCarroll JC, Rettig AC. Isolated autogenous bone-patellar tendon-bone graft site morbidity. Am J Sports Med. 1994;22:324–7.

    Article  PubMed  Google Scholar 

  47. Greis PE, Johnson DL, Fu FH. Revision anterior cruciate ligament surgery: causes of graft failure and technical considerations of revision surgery. Clin Sports Med. 1993;12:839–52.

    PubMed  CAS  Google Scholar 

  48. Spindler KP, Huston LJ, Wright RW, et al. The prognosis and predictors of sports function and activity at minimum 6 years after anterior cruciate ligament reconstruction: a population cohort study. Am J Sports Med. 2011;39:348–59.

    Article  PubMed  Google Scholar 

  49. Brown Jr CH, Carson EW. Revision anterior cruciate ligament surgery. Clin Sports Med. 1999;18:109–71.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Orthopaedics and Sports Medicine, University of Utah, 590 Wakara Way, Salt Lake City, UT, 84108, USA

    Travis G. Maak MD

  2. Hospital for Special Surgery, Sports Medicine and Shoulder Service, 535 East 70th Street, New York, NY, 10021, USA

    Demetris Delos MD & Frank A. Cordasco MD, MS

Authors
  1. Travis G. Maak MD
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  2. Demetris Delos MD
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  3. Frank A. Cordasco MD, MS
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Correspondence to Travis G. Maak MD .

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Editors and Affiliations

  1. Orthopaedic Surgery, Hospital for Special Surgery Weill Cornell Medical College, New York, New York, USA

    Robert G. Marx

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Maak, T.G., Delos, D., Cordasco, F.A. (2014). Preoperative Planning for Revision ACL Reconstruction. In: Marx, R. (eds) Revision ACL Reconstruction. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-0766-9_7

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  • DOI: https://doi.org/10.1007/978-1-4614-0766-9_7

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