{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,8]],"date-time":"2026-11-08T10:05:19Z","timestamp":1794132319317,"version":"4.8.0"},"reference-count":137,"publisher":"Bioscientifica","issue":"5","license":[{"start":{"date-parts":[[2023,5,1]],"date-time":"2023-05-01T00:00:00Z","timestamp":1682899200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["eor.bioscientifica.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,5,1]]},"abstract":"\n \n \n Anterior cruciate ligament (ACL) reconstruction failure can be defined as abnormal knee function due to graft insufficiency with abnormal laxity or failure to recreate a functional knee according to the expected outcome.<\/jats:p>\n <\/jats:list-item>\n \n Traumatic ruptures have been reported as the most common reason for failure. They are followed by technical errors, missed concomitant knee injuries, and biological failures.<\/jats:p>\n <\/jats:list-item>\n \n An in-depth preoperative examination that includes a medical history, clinical examinations, advanced imaging, and other appropriate methods is of utmost importance.<\/jats:p>\n <\/jats:list-item>\n \n There is still no consensus as to the ideal graft, but autografts are the favorite choice even in ACL revision.<\/jats:p>\n <\/jats:list-item>\n \n Concomitant meniscal treatment, ligamentous reconstruction, and osteotomies can be performed in the same surgical session to remove anatomical or biomechanical risk factors for the failure.<\/jats:p>\n <\/jats:list-item>\n \n Patient expectations should be managed since outcomes after ACL revision are not as good as those following primary ACL reconstruction.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>","DOI":"10.1530\/eor-23-0037","type":"journal-article","created":{"date-parts":[[2023,5,9]],"date-time":"2023-05-09T07:19:07Z","timestamp":1683616747000},"page":"231-244","update-policy":"https:\/\/doi.org\/10.1530\/crossmarkpolicy-16","source":"Crossref","is-referenced-by-count":25,"title":["Anterior cruciate ligament failure and management"],"prefix":"10.1530","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2418-4874","authenticated-orcid":true,"given":"Juan Carlos","family":"Monllau","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Hospital del Mar, Universitat Aut\u00f2noma de Barcelona (UAB), Barcelona, Spain"},{"name":"ICATKnee, Institut Catal\u00e1 de Traumatologia i Medicina de l\u2019Esport (ICATME), Hospital Universitari Dexeus, UAB, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Perelli","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Hospital del Mar, Universitat Aut\u00f2noma de Barcelona (UAB), Barcelona, Spain"},{"name":"ICATKnee, Institut Catal\u00e1 de Traumatologia i Medicina de l\u2019Esport (ICATME), Hospital Universitari Dexeus, UAB, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe Gianluca","family":"Costa","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery Department, Ospedale Umberto I, Enna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"416","reference":[{"key":"bib1","series-title":"Knee Surgery, Sports Traumatology, Arthroscopy","first-page":"442","article-title":"Function, osteoarthritis and activity after ACL-rupture: 11 years follow-up results of conservative versus reconstructive treatment","volume":"16","author":"Kessler","year":"2008","unstructured":"Kessler MABehrend HHenz SStutz GRukavina A & Kuster MS. 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