What is a revision ACL reconstruction? A revision ACL reconstruction is a second surgery needed to repair a torn anterior cruciate ligament. This is a more challenging operation for the orthopedic surgeon. Primary ACL reconstructions are performed using different techniques, so the surgeon must take multiple factors into account when planning for the more complex procedure.
Why did my ACL reconstruction fail? The main reasons a patient might need a revision ACL reconstruction include:.
Generally, patients know when there is a problem. Even after extensive rehabilitation, they may experience recurrent instability or other symptoms. After a primary ACL reconstruction, patients must also avoid returning to a sport too soon. How does it work? The patellar tendon, quadriceps tendon, hamstring tendon or allograft tissue may be used. Is a second ACL surgery really necessary? Even though additional research still needs to be performed to support our findings, our data does provide early evidence for re-examining current rehabilitation and return to sport protocols following ACLR," said Paterno.
Note: Content may be edited for style and length. Science News. ScienceDaily, 11 July Second ACL injuries six times more likely after reconstruction, study finds. Retrieved November 12, from www. The median time lapse between the first ACL reconstruction and surgery for another knee injury was 1. The median length of follow-up for all patients was 6. Factors associated with a second knee surgery for a non-ACL injury were younger age; being female; white race; private insurance; and higher hospital ACL volume.
Researchers noted that the study may underestimate the actual number of repeat ACL tears, as the database only included patients who underwent surgery, and did not include those who chose not to have additional surgery.
Dodwell said. The study noted that children are starting sports at a younger age, playing for longer durations with greater intensity, and often concentrating on a single sport year round, resulting in overuse and acute injuries.
Further research is needed to determine factors associated with subsequent injury and surgery so we can implement strategies to keep our youth safe while engaging in sports," Dr. To that end, Hospital for Special Surgery recently received a 2. The hospital will then launch a comprehensive campaign to raise awareness, informing and educating the public and professionals on injury prevention.
The initial focus will be on preventing ACL tears, one of the most common knee injuries among young athletes.
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