Chinese expert consensus on failure and revision after anterior cruciate ligament reconstruction
1)<b>Establishment of Evidence-Based Clinical Guidelines:</b> This article presents a rigorously developed expert consensus on ACL reconstruction failure and revision, providing evidence-based clinical guidelines that are directly applicable in surgical practice. The standardization of these protocols across medical institutions has the potential to reduce variability in patient care and improve surgical outcomes on a national scale.2)<b>Advancement of Precision Medicine in ACL Surgery:</b> By emphasizing the need for patient-specific approaches in the management of ACL reconstruction failure, this consensus supports the advancement of precision medicine in orthopaedic surgery. The tailored recommendations for graft selection, surgical techniques, and rehabilitation protocols can lead to more personalized and effective treatments, reducing the risk of complications and enhancing recovery.3)<b>Catalyst for Innovation in Surgical Techniques:</b> The article identifies critical gaps and challenges in current ACL revision practices, providing a foundation for future research and innovation. By outlining the complexities and controversies in surgical decision-making, this work serves as a catalyst for the development of new surgical techniques and technologies aimed at improving patient outcomes.4)<b>Framework for Future Research and Development:</b> The consensus not only addresses immediate clinical needs but also sets a clear agenda for future research in ACL revision. By offering a structured approach to the diagnosis and management of ACL failures, this article guides both basic and translational research efforts, ensuring that future innovations are aligned with clinical realities and patient needs.
Authors
- Hung Maan Lee
- Xuan‐Yi Huang (ORCID: https://orcid.org/0000-0002-5446-7453)
- Shiyi Chen (ORCID: https://orcid.org/0000-0002-3830-1189)
- Yaohua He (ORCID: https://orcid.org/0000-0001-8260-7161)
- Patrick Shu‐Hang Yung (ORCID: https://orcid.org/0000-0002-7214-5503)
- Xinghuo Zhang (ORCID: https://orcid.org/0000-0002-8210-7156)
- Kuanxin Li (ORCID: https://orcid.org/0000-0002-0605-8217)
- Chang‐Ming Huang (ORCID: https://orcid.org/0000-0002-0019-885X)
- Yongtao Mao (ORCID: https://orcid.org/0000-0002-3572-3044)
- Guofeng Dai (ORCID: https://orcid.org/0009-0002-2222-9271)
- Wai Sin Chan (ORCID: https://orcid.org/0000-0002-0365-0266)
- Qing Bi (ORCID: https://orcid.org/0000-0003-2260-342X)
- Xunwu Huang (ORCID: https://orcid.org/0000-0002-8818-6756)
- Lin Guo (ORCID: https://orcid.org/0000-0003-4718-6706)
- Yansong Qi (ORCID: https://orcid.org/0000-0003-1764-493X)
- Jingmin Huang (ORCID: https://orcid.org/0000-0001-7552-0615)
- Shaw‐Ruey Lyu (ORCID: https://orcid.org/0000-0003-3797-4848)
- Chuan Xiang (ORCID: https://orcid.org/0000-0002-1121-6443)
- Wei Xu (ORCID: https://orcid.org/0000-0002-9858-589X)
- Kun Mi
- Gengyan Xing (ORCID: https://orcid.org/0009-0006-9494-4601)
- Jingbin Zhou (ORCID: https://orcid.org/0009-0005-4781-1876)
- Jia‐Kuo Yu (ORCID: https://orcid.org/0000-0001-6260-7017)
- Hui Zhang (ORCID: https://orcid.org/0000-0003-0574-5952)
- Yadong Zhang (ORCID: https://orcid.org/0000-0003-0918-5673)
- Bin Li (ORCID: https://orcid.org/0000-0001-7930-5736)
- Yanlin Li (ORCID: https://orcid.org/0009-0009-8858-5747)
- Weiguo Zhang (ORCID: https://orcid.org/0000-0002-2804-641X)
- Chen Chen (ORCID: https://orcid.org/0000-0001-7587-3314)
- Qing Wang (ORCID: https://orcid.org/0009-0003-7328-8762)
- Wentao Zhang (ORCID: https://orcid.org/0000-0003-4087-7280)
- Hongyun Li (ORCID: https://orcid.org/0000-0001-5091-9064)
- Jianquan Wang (ORCID: https://orcid.org/0000-0003-0504-7169)
- Kai Wang (ORCID: https://orcid.org/0000-0002-3691-1485)
- Wei Lü (ORCID: https://orcid.org/0000-0001-6668-8432)
- Lunhao Bai (ORCID: https://orcid.org/0009-0001-7284-2392)
- Weidong Xu (ORCID: https://orcid.org/0000-0002-1643-0449)
- Ning Hu (ORCID: https://orcid.org/0000-0001-7178-3952)
- Meng Wu
- XU Hong-gang
- Hongbo You
- Jian Li (ORCID: https://orcid.org/0000-0003-4543-434X)
- Yongsheng Xu
- Qi Li (ORCID: https://orcid.org/0000-0001-8788-0992)
- Kun Yin
- Xizhuang Bai (ORCID: https://orcid.org/0000-0002-5124-4801)
- Xintao Zhang (ORCID: https://orcid.org/0000-0003-3386-2996)
- Hong Wang (ORCID: https://orcid.org/0000-0002-0253-8918)
- Tianwu Chen (ORCID: https://orcid.org/0000-0002-1783-9043)
- Liaobin Chen
- Jiapeng Zheng
- Xuesong Dai (ORCID: https://orcid.org/0000-0003-1404-0049)
- Lei Zhang (ORCID: https://orcid.org/0000-0002-7834-4693)
- Tengbo Yu
- Xiaogang Ma (ORCID: https://orcid.org/0000-0002-9811-4553)
- Jiang Zheng (ORCID: https://orcid.org/0009-0000-6181-4110)
- Jun Tao
- Weiming Wang
- Yong Hu
- Weiping Li
- Yuli Wu
- X. L. Ji (ORCID: https://orcid.org/0009-0009-3634-217X)
- Ning Liu (ORCID: https://orcid.org/0000-0001-8399-8985)
- Yang Guo (ORCID: https://orcid.org/0009-0005-6622-8483)
- Keyuan Zhang
- Jin Li (ORCID: https://orcid.org/0000-0001-8422-1115)
- Luning Sun (ORCID: https://orcid.org/0009-0004-7147-792X)
Institutions
- Qingdao University (CN)
- Nanchang University (CN)
- Army Medical University (CN)
- Xinjiang Medical University (CN)
- Harbin Medical University (CN)
- Sun Yat-sen University (CN)
- Tianjin University (CN)
- Shanxi Medical University (CN)
- Chinese University of Hong Kong (HK)
- Second Military Medical University (CN)
- Shanghai Jiao Tong University (CN)
- Capital Medical University (CN)
- Dalian Medical University (CN)
- Anhui Medical University (CN)
- Chinese Academy of Medical Sciences & Peking Union Medical College (CN)
- Peking University (CN)
- University of Macau (MO)
- Sichuan University (CN)
- Fudan University (CN)
- Kunming Medical University (CN)
- Beijing Chao-Yang Hospital, Capital Medical University (CN)
- First Affiliated Hospital of Xinjiang Medical University (CN)
- Chinese PLA General Hospital (CN)
- Beijing Jishuitan Hospital (CN)
- Wuhan University (CN)
- Soochow University (CN)
- First Affiliated Hospital of Xiamen University (CN)
- West China Hospital of Sichuan University (CN)
- First Affiliated Hospital of Jiangxi Medical College (CN)
- Sun Yat-sen Memorial Hospital (CN)
- Xi'an Honghui Hospital (CN)
- Shanghai Changzheng Hospital (CN)
- People's Liberation Army No. 150 Hospital (CN)
- Zhangzhou Municipal Hospital of Fujian Province (CN)
- Liaoning Provincial People's Hospital (CN)
- 174th hospital of the People's Liberation Army (CN)
- Second Affiliated Hospital of Nanchang University (CN)
- Zhengzhou City Hospital (CN)
- Ningbo Medical Center Lihuili Hospital (CN)
- Beijing Luhe Hospital Affiliated to Capital Medical University (CN)
- Prince of Wales Hospital (CN)
- The People's Hospital of Guangxi Zhuang Autonomous Region (CN)
- Changhai Hospital (CN)
- Qingdao Municipal Hospital (CN)
- First Affiliated Hospital of Kunming Medical University (CN)
- Zhongnan Hospital of Wuhan University (CN)
- Hualien Tzu Chi Medical Center (TW)
- Lanzhou University Second Hospital (CN)
- Inner Mongolia People's Hospital (CN)
- Second Affiliated Hospital of Soochow University (CN)
- Wangjing Hospital of China Academy of Chinese Medical Sciences (CN)
- Peking University Shenzhen Hospital (CN)
- Wuhan Union Hospital (CN)
- The Affiliated Yongchuan Hospital of Chongqing Medical University (CN)
- Zhejiang Provincial People's Hospital (CN)
- Southwest Hospital (CN)
- Second Affiliated Hospital of Harbin Medical University (CN)
- Second Hospital of Shanxi Medical University (CN)
- Tibet Autonomous Region People's Hospital (CN)
- Sichuan Provincial Hospital of Traditional Chinese Medicine (CN)
- First Affiliated Hospital of Anhui Medical University (CN)
- First Affiliated Hospital of Dalian Medical University (CN)
- Peking University Third Hospital (CN)
- Tianjin Hospital (CN)
- Shanghai Sixth People's Hospital (CN)
- Affiliated Zhongshan Hospital of Dalian University (CN)
- Riverside Hospital of Guangxi Zhuang Autonomous Region (CN)
- First Affiliated Hospital of Bengbu Medical College (CN)
- Qinghai Provincial Peoples Hospital (CN)
- Jiangsu Province Hospital (CN)
- Beijing Tsinghua Chang Gung Hospital (CN)
- Second Affiliated Hospital of Zhejiang University (CN)
- Huashan Hospital (CN)
- Tongji Hospital (CN)
- Chinese People's Liberation Army (CN)
- Qilu Hospital of Shandong University (CN)
- Inner Mongolia Autonomous Region Hospital of Traditional Chinese Medicine (CN)
- Eighth Affiliated Hospital of Sun Yat-sen University
- Huazhong University of Science and Technology (CN)
- Lanzhou University (CN)
- Nanjing Medical University (CN)
- Chongqing Medical University (CN)
- China Medical University (CN)
- Tsinghua University (CN)
Publication Details
- Journal
- Journal of Orthopaedic Translation
- Published
- 2025-05-01
- DOI
- https://doi.org/10.1016/j.jot.2025.03.006
- Citations
- 2
- Primary Topic
- Knee injuries and reconstruction techniques
- Type
- article
- Field-Weighted Citation Impact
- 4.01
Funders
- National Natural Science Foundation of China
- National Key Research and Development Program of China