A Systematic Review of Risk Factors for Anterior Cruciate Ligament Reconstruction Failure

Xianyue Shen; Yanguo Qin; Jianlin Zuo; Tong Liu; Jianlin Xiao

doi:10.1055/a-1393-6282

International Journal of Sports Medicine, Table of Contents

Int J Sports Med 2021; 42(08): 682-693
DOI: 10.1055/a-1393-6282

Review

A Systematic Review of Risk Factors for Anterior Cruciate Ligament Reconstruction Failure

Authors

Xianyue Shen

¹Department of Orthopedics,The Second Hospital of Jilin University, Changchun, China
Yanguo Qin

¹Department of Orthopedics,The Second Hospital of Jilin University, Changchun, China
Jianlin Zuo

²Department of Orthopedics, China-Japan Union Hospital of Jilin University, Changchun, China
Tong Liu

²Department of Orthopedics, China-Japan Union Hospital of Jilin University, Changchun, China
Jianlin Xiao

²Department of Orthopedics, China-Japan Union Hospital of Jilin University, Changchun, China

Abstract

Although most studies have introduced risk factors related to anterior cruciate ligament reconstruction failure, studies on combinations of high-risk factors are rare. To provide a systematic review of the risk factors of anterior cruciate ligament reconstruction failure to guide surgeons through the decision-making process, an extensive literature search was performed of the Medline, Embase and Cochrane Library databases. Studies published between January 1, 2009, and September 19, 2019, regarding the existing evidence for risk factors of anterior cruciate ligament reconstruction failure or graft failure were included in this review. Study quality was evaluated with the quality index. Ultimately, 66 articles met our criteria. There were 46 cases classified as technical factors, 21 cases as patient-related risk factors, and 14 cases as status of the knee joint. Quality assessment scores ranged from 14 to 24. This systematic review provides a comprehensive summary of the risk factors for anterior cruciate ligament reconstruction failure, including technical factors, patient-related factors, and the factors associated with the status of the knee joint. Emphasis should be placed on avoiding these high-risk combinations or correcting modifiable risk factors during preoperative planning to reduce the rate of graft rupture and anterior cruciate ligament reconstruction failure.

Key words

anterior cruciate ligament reconstruction - revision - graft failure - predictors - risk factors

Full Text

References

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