篇名 | Risk Factors for Failures in Anterior Cruciate Ligament Reconstruction: A Narrative Review |
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卷期 | 43:5 |
作者 | Wen‑Chun Yen 、 Zhi‑Hong Zheng |
頁次 | 197-201 |
關鍵字 | Anterior cruciate ligament reconstruction 、 lateral extra‑articular tenodesis procedure 、 tibial slope 、 graft 、 infection 、 arthrofibrosis 、 tunnel 、 MEDLINE 、 Scopus |
出刊日期 | 202310 |
DOI | 10.4103/jmedsci.jmedsci_75_23 |
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.