Revision ACL Reconstruction: A Critical Analysis Review

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Anterior cruciate ligament (ACL) tears are common among athletes of all levels1. In young, active patients who sustain an ACL tear and wish to return to sport at the same level, the standard of treatment is an ACL reconstruction2,3. As patients increasingly participate in higher-level activities later in their lives, the number of ACL reconstructions in the United States rose from 86,687 in 1994 to 129,836 in 2006 and continues to grow1. Unfortunately, as the number of primary ACL reconstructions has increased, the number of revision ACL reconstructions has also increased. Failure rates among primary ACL reconstructions have been reported between 5% and 25%, with young patients participating in cutting, jumping, deceleration, and pivoting sports at a substantially increased risk4-7.
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