N°016 - March / April 2022
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The role of tibial slope in ACL rerupture: when and how to correct it
By Edoardo Giovannetti de Sanctis, Anouk Rozinthe, Guillaume Demey, David H. Dejour in category UPDATE
Lyon-Ortho-Clinic : Clinique de la Sauvegarde, Ramsay Santé, 8, avenue Ben Gourion, 69009 Lyon, France / [email protected] / [email protected] / [email protected]
Anterior cruciate ligament (ACL) tears are common acute knee injuries frequently resulting in ACL reconstruction (ALCR). The number of ACL surgeries performed in USA yearly has increased significantly from 2008. In 2018 about 100 000 ACLR have been performed in USA. Between 2.8 and 4.5 % despite improvements in surgical techniques and anatomic knowledge. Two types of risk factors have been associated with ACL rupture and failure: extrinsic and intrinsic.
Extrinsic Risk Factors
The type of sport practiced modifies the risk of ACL rerupture. Contact or pivoting sports are more prone to ACL injury than others. Furthermore, also the level of sport competition, the sport equipment and the playing surface have an influence. Early return to sport, not properly attended rehabilitation program and lack of physical preparation are associated with an increased risk of ACL re-rupture .
Surgery has an important role within this field. Femoral and or tibial tunnel position, type of graft or fixation used might increase the risk of an early failure. Finally associated lesions should diagnosed and properly treated: meniscal tears (especially lateral root lesions) and capsulo-ligament tears (antero-lateral or medial collateral ligament). All those factors increasing the risk...
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