Revision ACL Reconstruction

Why would an ACL reconstruction fail?

ACL reconstruction is a complicated, yet commonly performed surgery on the knee that can fail for a variety of reasons. This issue can arise from reinjury to a well-placed tissue graft, an inadequate graft (too small or too weak), incorrect positioning of the graft within the knee, or other technical issues. These issues may also occur if there is another knee injury that has not been fixed, such as injury to other ligaments in the knee. Additionally, a tear may occur in the reconstructed ligament if a patient does not comply with physical therapy recommendations and returns to high-risk activities, such as cutting and pivoting sports, too soon after surgery. After an ACL reconstruction failure, patients often need to undergo a revision ACL reconstruction.

What is a revision ACL reconstruction?

A revision ACL reconstruction should be performed in patients that have had a previous ACL reconstruction that has failed and wish to return to sporting activities or have instability with activities of daily living. The goal of a revision ACL reconstruction is to address any injury or damage to the knee that may have caused the original reconstruction to fail. The goals of surgery are to improve pain and return a normal range of motion, and strength, and stability to patients so they can return to their desired physical activities and sports. Dr. Joseph Lamplot, orthopedic knee specialist, treats patients in Arlington Heights, Kildeer, Lake Zurich, Barrington, and the surrounding Northwest Suburbs of Chicago, IL, who have experienced a failed ACL Reconstruction.

Who should have a revision ACL reconstruction?

Athletes and patients who frequently participate in physical activities and have experienced an injury leading to a failed ACL reconstruction may be candidates for revision ACL reconstruction. To determine if a revision ACL reconstruction is the best option, Dr. Lamplot will first thoroughly examine the patient’s knee in order to properly determine the reason for the failure of previous surgery. It is important to first understand why the previous surgery failed to prevent further complications following a revision surgery. Dr. Lamplot will review his findings with the patient and work to create a treatment plan that is best for the patient and their goals.

How is a revision ACL reconstruction done?

In most cases, a revision ACL reconstruction can be performed as a single surgery. Dr. Lamplot will typically utilize a tissue graft using the patient’s own tissue, known as an autograft, to replace the torn ACL graft. In rare circumstances, Dr. Lamplot may have to perform the revision ACL reconstruction in two separate surgeries, known as a staged reconstruction. During the first surgery, he will place bone grafts to fill in large holes that were previously occupied by the previous ACL graft. During the second surgery, he will reconstruct the ACL with a new graft, thereby stabilizing the knee and completing the revision ACL reconstruction.

What is the recovery like after a revision ACL reconstruction?

Immediately following a revision ACL reconstruction, the patient will need to use crutches to limit the amount of weight placed on the knee. A knee brace will also be used for six weeks following the surgery to support the knee. Physical therapy will begin immediately after surgery and is essential to ensure the success of a revision ACL reconstruction. The patient can expect to return to normal physical activities approximately 9 to 12 months after surgery.

ACL Revision Reconstruction Surgeon