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Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
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2017, Number 3

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Acta Ortop Mex 2017; 31 (3)

Intraarticular lesions associated with tibial fixation during anterior cruciate ligament reconstruction

Almazán-Díaz A, Sierra-Suárez L, Cruz-López F, Pérez-Jiménez FJ, Ibarra-Ponce de León C, Alba-Sánchez I
Full text How to cite this article

Language: Spanish
References: 7
Page: 145-147
PDF size: 193.77 Kb.


Key words:

Intrafix, divergence, complication, ACL reconstruction.

ABSTRACT

Anterior cruciate ligament reconstruction is a demanding procedure; complications may arise at any of its stages. This is the report of three cases in which the tibial fixation devices (IntraFix and Bio-IntraFix) led to intraarticular lesions. The complications were detected in one of the cases while the patient was still in the operating room and in the remaining two during the follow-up. All the patients had a stable knee, but all of them sustained chondral lesions resulting from the inadequate placement of the implants used for tibial fixation. Several suggestions to avoid the complications stemming from these devices are provided.


REFERENCES

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  2. Almazan A, Herrera JP, Chaidez C, Cruz F, Perez F, Ibarra C: A complication of soft tissue graft tibial fixation with the IntraFix device. Med Sci Monit. 2009; 15(1): CS19-21.

  3. Fanelli G, Desai G, Cummings P, Hanks GA, Kalenak A: Divergent alignment of the femoral interference screw in single incision endoscopic reconstruction of the anterior cruciate ligament. Contemp Orthop. 1994; 28(1): 21-5.

  4. Jomha NM, Raso VJ, Leung P: Effect of varying angles on the pullout strength of interference screw fixation. Arthroscopy. 1993; 9(5): 580-3.

  5. Lemos MJ, Albert J, Simon T, Jackson DW: Radiographic analysis of femoral interference screw placement during ACL reconstruction: endoscopic versus open technique. Arthroscopy. 1993; 9(2): 154-8.

  6. Pierz K, Baltz M, Fulkerson J: The effect of Kurosaka screw divergence on the holding strength of bone-tendon-bone grafts. Am J Sports Med. 1995; 23(3): 332-5.

  7. Dworsky BD, Jewell BF, Bach BR Jr: Interference screw divergence in endoscopic anterior cruciate ligament reconstruction. Arthroscopy. 1996; 12(1): 45-9.




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Acta Ortop Mex. 2017 May-Jun;31