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Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy 2/2011

01.02.2011 | Knee

Causes for failure of ACL reconstruction and influence of meniscectomies after revision

verfasst von: Christophe Trojani, Abderahmane Sbihi, Patrick Djian, Jean-François Potel, Christophe Hulet, Frank Jouve, Christophe Bussière, François-Paul Ehkirch, Gilles Burdin, Frédéric Dubrana, Philippe Beaufils, Jean-Pierre Franceschi, Vincent Chassaing, Philippe Colombet, Philippe Neyret

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 2/2011

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Abstract

The purpose of this multicenter retrospective study was to analyze the causes for failure of ACL reconstruction and the influence of meniscectomies after revision. This study was conducted over a 12-year period, from 1994 to 2005 with ten French orthopaedic centers participating. Assessment included the objective International Knee Documenting Committee (IKDC) 2000 scoring system evaluation. Two hundred and ninety-three patients were available for statistics. Untreated laxity, femoral and tibial tunnel malposition, impingement, failure of fixation were assessed, new traumatism and infection were recorded. Meniscus surgery was evaluated before, during or after primary ACL reconstruction, and then during or after revision ACL surgery. The main cause for failure of ACL reconstruction was femoral tunnel malposition in 36% of the cases. Forty-four percent of the patients with an anterior femoral tunnel as a cause for failure of the primary surgery were IKDC A after revision versus 24% if the cause of failure was not the femoral tunnel (P = 0.05). A 70% meniscectomy rate was found in revision ACL reconstruction. Comparison between patients with a total meniscectomy (n = 56) and patients with preserved menisci (n = 65) revealed a better functional result and knee stability in the non-meniscectomized group (P = 0.04). This study shows that the anterior femoral tunnel malposition is the main cause for failure in ACL reconstruction. This reason for failure should be considered as a predictive factor of good result of revision ACL reconstruction. Total meniscectomy jeopardizes functional result and knee stability at follow-up.
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Metadaten
Titel
Causes for failure of ACL reconstruction and influence of meniscectomies after revision
verfasst von
Christophe Trojani
Abderahmane Sbihi
Patrick Djian
Jean-François Potel
Christophe Hulet
Frank Jouve
Christophe Bussière
François-Paul Ehkirch
Gilles Burdin
Frédéric Dubrana
Philippe Beaufils
Jean-Pierre Franceschi
Vincent Chassaing
Philippe Colombet
Philippe Neyret
Publikationsdatum
01.02.2011
Verlag
Springer-Verlag
Erschienen in
Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 2/2011
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-010-1201-6

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