Longitudinal Anterior Knee Laxity Related to Substantial Tibial Tunnel Enlargement After Anterior Cruciate Ligament Revision

被引：9
作者：
Quatman, Carmen E. [1 ,2 ,3 ,4 ,5 ,6 ]
Paterno, Mark V. [5 ,6 ,7 ]
Wordeman, Samuel C. [5 ,6 ]
Kaeding, Christopher C. [3 ,4 ]
机构：
[1] Ohio State Univ, Dept Physiol, OSU Sports Med, Columbus, OH 43210 USA
[2] Ohio State Univ, Dept Cell Biol, OSU Sports Med, Columbus, OH 43210 USA
[3] Ohio State Univ, Dept Sports Med, Sports Hlth & Performance Inst, OSU Sports Med, Columbus, OH 43210 USA
[4] Ohio State Univ, Dept Orthopaed, OSU Sports Med, Columbus, OH 43210 USA
[5] Cincinnati Childrens Hosp, Med Ctr, Sports Med Biodynam Ctr, Res Fdn, Cincinnati, OH USA
[6] Cincinnati Childrens Hosp, Med Ctr, Human Performance Lab, Cincinnati, OH USA
[7] Cincinnati Childrens Hosp, Med Ctr, Dept Occupat & Phys Therapy, Cincinnati, OH USA
来源：
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY | 2011年 / 27卷 / 08期
关键词：
PLATEAU FRACTURE; CYST FORMATION; RECONSTRUCTION; SURGERY; GRAFT;
D O I：
10.1016/j.arthro.2011.02.039
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Allograft and bioabsorbable screw use in anterior cruciate ligament (ACL) revision surgery is common. However, both allograft and bioabsorbable screws have been associated with immunologic reactions that lead to tunnel enlargement. Long-term studies examining tibial tunnel enlargement in this population are currently not available. We report a case of severe tibial and femoral tunnel enlargement 6.5 years after ACL revision surgery with anterior tibialis and semitendinosus allograft and bioabsorbable screw fixation. Longitudinal knee arthrometer data, knee examination with the patient under anesthesia, and arthroscopic inspection of the graft showed minimal effects of severe tunnel enlargement on anterior knee laxity and graft integrity. To our knowledge, this is the first case report of a longitudinal assessment of anterior knee laxity associated with severe tunnel enlargement. Surgeons should be aware of this condition and the clinical consequences that may accompany bone tunnel enlargement after ACL surgery.
引用
收藏
页码：1160 / 1163
页数：4
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