Tibial cyst and intra-articular granuloma formation after anterior cruciate ligament reconstruction using polylactide carbonate osteoconductive interference screws

被引:20
作者
Dujardin, Jan
Vandenneucker, Hilde
Belleman, Johan
机构
[1] University Hospital Pellenberg, Pellenberg
关键词
anterior cruciate ligament; polylactide carbonate; complication; cyst; granuloma;
D O I
10.1016/j.arthro.2007.11.009
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
We report a case of sterile tibial cyst and intra-articular granuloma formation of the knee 6 months after a double-bundle anterior cruciate ligament reconstruction with bioabsorbable polylactide carbonate osteoconductive interference screws. The patient presented with increasing pain and swelling of the knee. Surgical exploration was performed, and 2 pretibial cavities were encountered, filled with remnants of the biodegradable screws and fibrinous material. Both sites underwent curettage, and the cavities were filled with allogeneic bone grafts. Arthroscopic evaluation of the knee showed an intact anterior cruciate ligament and a large granuloma formation anterior to the intercondylar notch in conjunction with the anteromedial tibial tunnel. Arthroscopic resection of the granuloma together with synovectomy was performed. To our knowledge, this is the first case report of this complication with polylactide carbonate screws.
引用
收藏
页码:238 / 242
页数:5
相关论文
共 25 条
  • [1] Weiler A., Hoffman R.F.G., Stahelin A.C., Helling H., Sudkamp N., Biodegradable implants in sports medicine: The biological base, Arthroscopy, 16, pp. 305-321, (2000)
  • [2] Kousa P., Jarvinen T.L.N., Kannus P., Jarvinen M., Initial fixation strength of bioabsorbable and titanium interference screws in anterior cruciate ligament reconstruction: Biomechanical evaluation by single cycle and cyclic loading, Am J Sports Med, 29, pp. 420-425, (2001)
  • [3] Caborn D.N.M., Urban W.P., Johnson D.L., Biomechanical comparison between BioScrew and titanium alloy interference screws for bone-patellar tendon-bone graft fixation in anterior cruciate ligament reconstruction, Arthroscopy, 13, pp. 229-232, (1997)
  • [4] Abate J.A., Fadale P.D., Hulstyn M.J., Walsh W.R., Initial fixation strength of polylactic acid interference screws in anterior cruciate ligament reconstruction, Arthroscopy, 14, pp. 278-284, (1998)
  • [5] Weiler A., Windhagen H.J., Raschke M.J., Biodegradable interference screw fixation exhibits pull-out force and stiffness similar to titanium screws, Am J Sports Med, 26, pp. 119-127, (1998)
  • [6] Barber F.A., Poly-D,L-lactide interference screws for anterior cruciate ligament reconstruction, Arthroscopy, 21, pp. 804-808, (2005)
  • [7] Zantop T., Weimann A., Schmidtko R., Herbort M., Raschke M.J., Petersen W., Graft laceration and pullout strength of soft-tissue anterior cruciate ligament reconstruction: In vitro study comparing titanium, poly-D,L-lactide, and poly-D,L-lactide-tricalcium phosphate screws, Arthroscopy, 22, pp. 1204-1210, (2006)
  • [8] Laxdal G., Kartus J., Eriksson B.I., Faxen E., Sernert N., Karlsson J., Biodegradable and metallic interference screws in anterior cruciate ligament reconstruction surgery using hamstring tendon grafts: Prospective randomized study of radiographic results and clinical outcome, Am J Sports Med, 34, pp. 1574-1580, (2006)
  • [9] Baums M.H., Zelle B.A., Schultz W., Ernstberger T., Klinger H.M., Intraarticular migration of a broken biodegradable interference screw after anterior cruciate ligament reconstruction, Knee Surg Sports Traumatol Arthrosc, 14, pp. 865-868, (2006)
  • [10] Weimann A., Rodieck M., Zantop T., Hassenpflug J., Petersen W., Primary stability of hamstring graft fixation with biodegradable suspension versus interference screws, Arthroscopy, 21, pp. 266-274, (2005)