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

2017, Number 6

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Acta Ortop Mex 2017; 31 (6)

Intra-articular migration of a tibial bone block after an anterior cruciate ligament reconstruction using a bone-tendon-bone graft

Alonso-Polo MB, De Borja-Sobrón F, Mora F, Vaquero J

Language: Spanish
References: 10
Page: 304-307
PDF size: 198.99 Kb.


ABSTRACT

We report the case of a patient that presented an intra-articular protrusion of the tibial bone block after an arthroscopically-assisted ACL reconstruction using a bone-patellar tendon-bone graft. The divergence between the tunnel and the screw was thought to be the reason of the migration. There are several animal-model studies that evidence a relationship between the decreased fixation of the graft and the tunnel-screw divergence. To the best of our knowledge, this is the first report of this complication.


REFERENCES

  1. Siebold R, Dejour D, Zaffagnini S (editors): Anterior cruciate ligament reconstruction: a practical surgical guide. Berlin, Germany: Springer Science & Business; 2014.

  2. Alonso B, Sobrón FB, Vidal C, Vaquero J: Pretibial pseudocyst after anterior cruciate ligament reconstruction with a biocomposite screw. Acta Ortop Mex. 2016; 30(3): 150-3.

  3. Kohn D, Rose C: Primary stability of interference screw fixation. Influence of screw diameter and insertion torque. Am J Sports Med. 1994; 22(3): 334-8.

  4. Brand J Jr, Weiler A, Caborn DN, Brown CH Jr, Johnson DL: Graft fixation in cruciate ligament reconstruction. Am J Sports Med. 2000; 28(5): 761-74.

  5. 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.

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

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

  8. Kadija M, Bumbasirević M, Blagojević Z, Dubljanin-Raspopović E: Posterior femoral cortex perforation unrecognised during arthroscopic LCA reconstructive surgery. Acta Chir Iugosl. 2006; 53(4): 73-8.

  9. Hughes AW, Dwyer AJ, Govindaswamy R, Lankester B: The use of intra-operative fluoroscopy for tibial tunnel placement in anterior cruciate ligament reconstruction. Bone Joint Res. 2012; 1(10): 234-7.

  10. Werner BC, Burrus MT, Kew ME, Dempsey IJ, Gwathmey FW, Miller MD, et al: Limited utility of routine early postoperative radiography after primary ACL reconstruction. Knee. 2016; 23(2): 237-40.




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