Rework inscription in ACL

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Aug 6th, 2022
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How to rework inscription in ACL

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good morning everyone my task this morning is to update you on uh where we are with acl repair i want to thank reinhold and everyone at arthrex for allowing me to share my data my name is gregory felice iamp;#39;m from the hospital for special surgery in new york city my first acl repair i did in 2008 and itamp;#39;s been quite a long and winding road since then this is one of the earlier papers that we wrote where we suggested that maybe the orthopedic community abandoned the idea of acl repair a little too soon it seemed to me that the previous generation of surgeons had the right idea but simply the wrong execution imagine if you would if we took if we stopped innovating with the cell phones after this this gem uh weamp;#39;d never end up where we are today with super computers in our pockets those of you with teenagers actually might enjoy that my idea was simple that the acl tear on the left uh behaves differently than the acl tear on the right and we were all taught that the a

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After an ACL reconstruction, up to 14% of patients go on to suffer a graft rupture, an ACL re-rupture [8]. Several risk factors for suffering an ACL re-rupture have been identified, including younger age, high activity level, female sex, and the use of allograft [9,10,11].
In general, the success rates in the literature for ACL revision surgery are approximately 75%. A very careful assessment of the cause of the graft failure is necessary to try to maximize an individual patients outcome with an ACL revision surgery.
Conclusion. Multiple revision ACL reconstruction surgery appears to have reasonable functional outcomes but is associated with a relatively high failure rate. Activity level following repeat revision surgery is diminished compared to the preinjury state, but most patients are able to return to recreational sports.
There is no real limit to the amount of times the ACL can be reconstructed. However, each successive surgery may become technically challenging due to bone loss. This requires that your surgeon have expertise in complex revision ACL surgery. How can you tell if you torn your ACL again?
How will I know if I retear my ACL? Rapid and large amounts of swelling. A popping sound or feeling. Lots of pain. Inability to continue playing the sport.
Autografts are preferred for revision ACL due their lesser re-tear rates and better outcomes. Associated meniscus tears and cartilage injuries are more common in revision than in primary surgery and need to be managed appropriately.
A revision ACL reconstruction is a second surgery needed to repair a torn anterior cruciate ligament. ACL revision surgery is a more challenging operation for the orthopedic surgeon than a primary reconstruction.

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