Risk factors for failures in anterior cruciate ligament reconstruction: A narrative review
This article provides a narrative review of the risk factors for anterior cruciate ligament reconstruction (ACLR) failures, as well as strategies to prevent such failures. Early timing for ACLR is not a risk factor for arthrofibrosis anymore according to recent studies. Vancomycin-soaked grafts appe...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Journal of Medical Sciences |
| Subjects: | |
| Online Access: | http://www.jmedscindmc.com/article.asp?issn=1011-4564;year=2023;volume=43;issue=5;spage=197;epage=201;aulast=Yen |
| _version_ | 1827300253618929664 |
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| author | Wen-Chun Yen Zhi-Hong Zheng |
| author_facet | Wen-Chun Yen Zhi-Hong Zheng |
| author_sort | Wen-Chun Yen |
| collection | DOAJ |
| description | This article provides a narrative review of the risk factors for anterior cruciate ligament reconstruction (ACLR) failures, as well as strategies to prevent such failures. Early timing for ACLR is not a risk factor for arthrofibrosis anymore according to recent studies. Vancomycin-soaked grafts appear to decrease infection rates after ACLR and are cost-effective. Proper tunnel placement is critical for anatomic ACLR to restore knee kinematics and joint stability. The article proposes a reproducible and accurate method for tunnel positioning. Increased sagittal plane tibial slope has been identified as a risk factor for primary ACLR failure. An anterior closing wedge proximal tibial osteotomy is suggested as a viable option for reducing posterior tibial slope. The lateral extra-articular tenodesis procedure in ACLR is effective in restoring both anterior tibial translation and rotatory stability. |
| first_indexed | 2024-04-24T15:50:07Z |
| format | Article |
| id | doaj.art-3ce9aa2071b74f7bbbd489c21bfffdca |
| institution | Directory Open Access Journal |
| issn | 1011-4564 |
| language | English |
| last_indexed | 2024-04-24T15:50:07Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Medical Sciences |
| spelling | doaj.art-3ce9aa2071b74f7bbbd489c21bfffdca2024-04-01T12:49:27ZengWolters Kluwer Medknow PublicationsJournal of Medical Sciences1011-45642023-01-0143519720110.4103/jmedsci.jmedsci_75_23Risk factors for failures in anterior cruciate ligament reconstruction: A narrative reviewWen-Chun YenZhi-Hong ZhengThis article provides a narrative review of the risk factors for anterior cruciate ligament reconstruction (ACLR) failures, as well as strategies to prevent such failures. Early timing for ACLR is not a risk factor for arthrofibrosis anymore according to recent studies. Vancomycin-soaked grafts appear to decrease infection rates after ACLR and are cost-effective. Proper tunnel placement is critical for anatomic ACLR to restore knee kinematics and joint stability. The article proposes a reproducible and accurate method for tunnel positioning. Increased sagittal plane tibial slope has been identified as a risk factor for primary ACLR failure. An anterior closing wedge proximal tibial osteotomy is suggested as a viable option for reducing posterior tibial slope. The lateral extra-articular tenodesis procedure in ACLR is effective in restoring both anterior tibial translation and rotatory stability.http://www.jmedscindmc.com/article.asp?issn=1011-4564;year=2023;volume=43;issue=5;spage=197;epage=201;aulast=Yenanterior cruciate ligament reconstructionlateral extra-articular tenodesis proceduretibial slopegraftinfectionarthrofibrosistunnel |
| spellingShingle | Wen-Chun Yen Zhi-Hong Zheng Risk factors for failures in anterior cruciate ligament reconstruction: A narrative review Journal of Medical Sciences anterior cruciate ligament reconstruction lateral extra-articular tenodesis procedure tibial slope graft infection arthrofibrosis tunnel |
| title | Risk factors for failures in anterior cruciate ligament reconstruction: A narrative review |
| title_full | Risk factors for failures in anterior cruciate ligament reconstruction: A narrative review |
| title_fullStr | Risk factors for failures in anterior cruciate ligament reconstruction: A narrative review |
| title_full_unstemmed | Risk factors for failures in anterior cruciate ligament reconstruction: A narrative review |
| title_short | Risk factors for failures in anterior cruciate ligament reconstruction: A narrative review |
| title_sort | risk factors for failures in anterior cruciate ligament reconstruction a narrative review |
| topic | anterior cruciate ligament reconstruction lateral extra-articular tenodesis procedure tibial slope graft infection arthrofibrosis tunnel |
| url | http://www.jmedscindmc.com/article.asp?issn=1011-4564;year=2023;volume=43;issue=5;spage=197;epage=201;aulast=Yen |
| work_keys_str_mv | AT wenchunyen riskfactorsforfailuresinanteriorcruciateligamentreconstructionanarrativereview AT zhihongzheng riskfactorsforfailuresinanteriorcruciateligamentreconstructionanarrativereview |