Revision of Anterior Cruciate Ligament Reconstruction

The chapter discusses challenges and considerations associated with revision of anterior cruciate ligament reconstruction, emphasizing the increasing prevalence of failures in both primary and revision surgeries. While knee stability, return to sport, and mitigation of post-traumatic knee osteoarthritis are primary goals, other factors such as postoperative pain, stiffness, infection, and extensor mechanism dysfunction contribute to the complexity of defining an anterior cruciate ligament reconstruction failure. The chapter highlights the lack of a universally accepted definition for failure and underscores the importance of objective criteria, including graft tear assessment and knee laxity measurements. Thorough preoperative planning, meticulous surgical technique, and individualized rehabilitation are deemed essential for successful revision anterior cruciate ligament reconstruction, with an emphasis on preventing failure through anatomic reconstruction, addressing malalignment, and comprehensive management of associated injuries.