4 doctors weighed in:

I had my ACL reconstructed, and think I tore the same ACL on the same knee, what are the chances it'll be a better fix the second time around?

4 doctors weighed in
Dr. Ryan Pflugner
Sports Medicine
1 doctor agrees

In brief: Depends

There are many reasons why an acl reconstruction fails, sometimes it is due to technical failure, sometimes from infection, sometimes from a new trauma.
Solely looking at statistics, revision reconstructions are not as good as primary reconstructions. But that should not discourage you, talk with your doctor and make an informed decision.

In brief: Depends

There are many reasons why an acl reconstruction fails, sometimes it is due to technical failure, sometimes from infection, sometimes from a new trauma.
Solely looking at statistics, revision reconstructions are not as good as primary reconstructions. But that should not discourage you, talk with your doctor and make an informed decision.
Dr. Ryan Pflugner
Dr. Ryan Pflugner
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Dr. Theodore Shybut
Sports Medicine
1 doctor agrees

In brief: 1st fix best but...

Results of revision (re-do) acl surgery are not as good as for primary.
However, acl recon techniques have advanced to allow better (more anatomic) positioning of the reconstructed ligament (graft). See a sports med specialist with experience in acl revision. If your prior graft was not well-oriented your knee stability may be better than the first time. Good pt/rehab is critical to success.

In brief: 1st fix best but...

Results of revision (re-do) acl surgery are not as good as for primary.
However, acl recon techniques have advanced to allow better (more anatomic) positioning of the reconstructed ligament (graft). See a sports med specialist with experience in acl revision. If your prior graft was not well-oriented your knee stability may be better than the first time. Good pt/rehab is critical to success.
Dr. Theodore Shybut
Dr. Theodore Shybut
Thank
Dr. Scott Slattery
Sports Medicine
1 doctor agrees

In brief: Not as good 2nd time

Statistically, re-do ACL surgery does not have as good results as the first surgery.
If your surgeon can find a problem with the way it was done the first time, such as non-ideal bone tunnel position, and the problem can be fixed, it may do better the second time. The decision to have a second ACL surgery is a complex issue. It would be reasonable to get at least 2 opinions prior to repeat surgery.

In brief: Not as good 2nd time

Statistically, re-do ACL surgery does not have as good results as the first surgery.
If your surgeon can find a problem with the way it was done the first time, such as non-ideal bone tunnel position, and the problem can be fixed, it may do better the second time. The decision to have a second ACL surgery is a complex issue. It would be reasonable to get at least 2 opinions prior to repeat surgery.
Dr. Scott Slattery
Dr. Scott Slattery
Thank
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