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Cited by 390

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Ipsilateral Graft and Contralateral ACL Rupture at Five Years or More Following ACL Reconstruction: A Systematic Review

Open access
Wright, Rick W., Magnussen, Robert A., Dunn, Warren R., Spindler, Kurt P.·2011·The Journal of Bone & Joint Surgery

Abstract

BACKGROUND: Injury to the ipsilateral graft used for reconstruction of the anterior cruciate ligament (ACL) or a new injury to the contralateral ACL is a devastating outcome following successful ACL reconstruction, rehabilitation, and return to sport. Little evidence exists regarding the intermediate to long-term risk of these events. METHODS: The present study is a systematic review of Level-I and II prospective studies that evaluated the rate of rupture of the ACL graft and the ACL in the contralateral knee following a primary ACL reconstruction with use of a mini-open or arthroscopic bone-tendon-bone or hamstring autograft after a minimum duration of follow-up of five years. RESULTS: Six studies met the inclusion and exclusion criteria. The ipsilateral ACL graft rupture rate ranged from 1.8% to 10.4%, with a pooled percentage of 5.8%. The contralateral injury rate ranged from 8.2% to 16.0%, with a pooled percentage of 11.8%. CONCLUSIONS: This systematic review demonstrates that the risk of ACL tear in the contralateral knee (11.8%) is double the risk of ACL graft rupture in the ipsilateral knee (5.8%). Additional studies must be performed to determine predictors for these injuries and to improve our ability to avoid this devastating outcome.

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Metadata

Authors
Wright, R. W., Magnussen, R. A., Dunn, W. R., & Spindler, K. P.
Venue
The Journal of Bone & Joint Surgery
Published
2011-06
Volume
93
Issue
12
Pages
1159-1165
ISSN
0021-9355 (ISSN-L)
OpenAlex
W2016333375
Cited by
390
References
1
FWCI
17.78
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Ipsilateral Graft and Contralateral ACL Rupture at Five Years or More Following ACL Reconstruction: A Systematic Review. https://app.cochat.ai/papers/10.2106/jbjs.j.00898
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Wright, R. W., Magnussen, R. A., Dunn, W. R., & Spindler, K. P. (2011). Ipsilateral Graft and Contralateral ACL Rupture at Five Years or More Following ACL Reconstruction: A Systematic Review. The Journal of Bone & Joint Surgery. https://doi.org/10.2106/jbjs.j.00898

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