The 2022 European Society of Sports Traumatology, Knee Surgery, and Arthroscopy (ESSKA) consensus on anterior cruciate ligament (ACL) revision surgery in adults provides evidence-based recommendations to enhance diagnostic accuracy, preoperative planning, and surgical strategies for ACL revision procedures. This second part of the consensus focuses on surgical strategies.
Methodology: Utilizing the Delphi method, the consensus addressed 18 critical questions related to surgical strategies in ACL revision. Each recommendation was graded based on the quality of supporting evidence:
- Grade A: High-level scientific support
- Grade B: Scientific presumption
- Grade C: Low-level scientific support
- Grade D: Expert opinion
Findings: The literature review revealed a limited number of high-quality studies on surgical strategies for failed ACL reconstructions. Of the 18 questions posed:
- 1 received a Grade A recommendation
- 5 received Grade B
- 9 received grades C or D
- The remaining 3 complex questions were evaluated in segments, receiving various grades from A to D
Conclusion: ACL revision surgery encompasses diverse opinions and techniques, with a notable lack of standardization in the literature. This international European consensus aims to provide clinically relevant guidance for managing ACL revisions in adults, emphasizing the need for standardized surgical strategies to improve patient outcomes.
For a detailed exploration of the consensus recommendations, refer to the full article:
