Revision Anterior Cruciate Ligament Reconstruction

BackgroundRevision of an anterior cruciate ligament reconstruction is a complicated and delicate clinical procedure whose results, theoretically, are less satisfactory than those of the first operation.HypothesisThe outcome of a revised anterior cruciate ligament surgery is comparable to primary anterior cruciate ligament reconstruction, with a rate of success around 70% to 80%.Study DesignCase series; Level of evidence, 4.MethodsA total of 66 revisions of anterior cruciate ligament reconstructions were carried out from September 2000 to September 2004. Patients with concomitant instability and those with alterations in the weightbearing axis of the lower limbs were not included. Sixty patients were followed from 24 to 72 months: 50 clinically and 10 by a phone interview. Six patients were lost to follow-up due to changes of address.ResultsLysholm scores were 57% excellent (95–100 points), 13% good (84–94 points), 22% fair (63–83 points), and 8% poor (<64 points). A total of 68% of patients had negative L...