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Systematic Approach from Porto School

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Anterior Cruciate Ligament Reconstruction

Abstract

The high prevalence of anterior cruciate ligament (ACL) reconstruction [1–3] reinforces the importance of developing strategies aiming at prevention, diagnosis, and treatment of possible complications and/or failure of such procedures. Revision of ACL reconstruction always presents a challenge in orthopedic practice. However, in present time it must enter in the “routine” of any knee reconstruction surgeon [4–19]. Revision of ACL repair, regardless of the inherent cause, must be considered a demanding and delicate clinical procedure. Its results have been considered as predictably less satisfactory than those of the primary operation [20]. Somewhat inferior patient-reported outcome scores comparing to previously published results of primary ACL reconstruction have been shown, but clinical relevance of these findings remains to be clarified [21]. Furthermore, higher remaining laxity, higher graft failure rate, and meniscal or cartilage degeneration have also been described [1, 22]. Despite several reports of favorable results and return to sports at the same level after AC revision, clinical failure rates up to 25 % have been reported [17].

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Authors and Affiliations

  1. Clínica Espregueira-Mendes F.C. Porto Stadium – FIFA Medical Centre of Excellence, 3B’s Research Group – Biomaterials, Biodegradables and Biomimetics, Univ. Minho, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative Medicine, Ave Park, S. Cláudio de Barco, 4806–909, Taipas, Guimarães, Portugal

    Hélder Pereira MD, Joaquim Miguel Oliveira BSc, PhD, Rui Luís Reis CEng, MSc, PhD, DSc & João Espregueira-Mendes MD, PhD

  2. ICVS/3B’s – PT Government Associated Laboratory, Braga, Guimarães, Portugal

    Hélder Pereira MD, Joaquim Miguel Oliveira BSc, PhD, Rui Luís Reis CEng, MSc, PhD, DSc & João Espregueira-Mendes MD, PhD

  3. Clínica Espregueira-Mendes F.C. Porto Stadium – FIFA Medical Centre of Excellence, Porto, Portugal

    Hélder Pereira MD, Nuno Sevivas, Rogério Pereira, Alberto Monteiro & João Espregueira-Mendes MD, PhD

  4. Orthopedic Department, Centro Hospitalar Póvoa de Varzim – Vila do Conde, Vila do Conde, Portugal

    Hélder Pereira MD

  5. Imaging Department, Hospital da Boavista, Porto, Portugal

    Ricardo Sampaio

  6. Clínica Espregueira-Mendes F.C. Porto Stadium – FIFA Medical Centre of Excellence, ICVS/3B’s – PT Government Associated Laboratory, Braga, Guimarães, Portugal

    Nuno Sevivas

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  1. Hélder Pereira MD
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  1. ATOS Hospital Heidelberg, Heidelberg, Germany

    Rainer Siebold

  2. Lyon Ortho Clinic, Lyon, France

    David Dejour

  3. Istituti Ortopedico Rizzoli Clinica Ortopedica Traumatologica III, Bologna, Italy

    Stefano Zaffagnini

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Pereira, H. et al. (2014). Systematic Approach from Porto School. In: Siebold, R., Dejour, D., Zaffagnini, S. (eds) Anterior Cruciate Ligament Reconstruction. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-45349-6_34

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