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Improper graft selection
4%
178/4077
Lack of sufficient physical rehabilitation prior to return to basketball
8%
341/4077
Overly aggressive physical rehabilitation during the first 3 months following reconstructive surgery
149/4077
Surgical error in graft tensioning
166/4077
Surgical error in tunnel position
79%
3222/4077
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Failure following primary ACL reconstruction has been associated with surgical error in 65-75% of cases. Of these cases, tunnel malposition is the most common, accounting for 70% of the errors. Successful ACL reconstruction has been demonstrated with hamstring autograft as well as bone-patellar tendon bone autograft, quadriceps autograft and multiple allograft specimens. Appropriate rehabilitation is crucial for successful return to sport, but there is not a more frequent cause of failure than surgical error. Battaglia et al review a surgical technique for revision ACL reconstruction utilizing freeze-dried allograft bone dowels to fill malpositioned tunnels. Grossman et al review 29 patients who underwent revision ACL reconstruction with bone patellar tendon bone allograft, contralateral bone-patellar tendon-bone autograft, or achilles allograft. All 29 patients reported satisfactory clinical results with an average 67 month follow-up.
3.0
(45)
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