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Anterior Cruciate Ligament Re-tear and Revision Reconstruction in the Skeletally Immature Athlete by Garcia, Steven; Pandya, Nirav K. is a Medicine article available to read on EtoBox.

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## Purpose of review: With an increase in high-demand sporting activity, the rate of pediatric and adolescent anterior cruciate ligament (acl) reconstruction is increasing. yet, the failure rates after reconstruction are much higher than the adult population. the purpose of this paper is to understand failure rates, reasons for graft failure, and strategies for successful revision surgery. ## Recent findings: A complete understanding of the failure etiology is essential for the clinician treating this population prior to revision. this begins with an assessment of post-operative patient compliance and sporting activity. surgical technique must then be scrutinized for non-anatomic tunnel placement and poor graft size/type. concurrent bony deformity must also be addressed including lower extremity valgus alignment and tibial slope abnormalities. meniscus and chondral injury must be aggressively treated. furthermore, imaging must be examined to look for missed posterolateral corner injury. lateral extra-articular tenodesis (in the setting of ligamentous laxity or rotational instability) may be also indicated as well. the surgeon can then choose a graft type and surgical technique that

Who reads Anterior Cruciate Ligament Re-tear and Revision Reconstruction in the Skeletally Immature Athlete?

Author

Garcia, Steven; Pandya, Nirav K.

Publisher

Current Science Inc.; Springer-Verlag; Humana Press, Inc.; Springer Science and Business Media LLC (ISSN 1935-973X)

Published

2020

Language

EN

Field

Medicine (Health Sciences)