Endoscopic anterior cruciate ligament reconstruction: complication of graft rupture and a method of salvage.
The following case report highlights the complications of endoscopic anterior cruciate ligament reconstruction. One such complication involving autograft rupture in placement of the femoral screw is described. A method of salvage using the existing autograft is elucidated by converting to a two-incision technique. Furthermore, the case report demonstrates a soft-tissue suturing technique described by Krackow that enabled salvaging the previously harvested autograft and securing over a ligament button. Second-look arthroscopy at 8 months after the combined medial meniscus repair and ACL reconstruction confirmed healing. At follow-up 3 years after surgery, the result was excellent using both the Lysholm and IKDC scoring system.
Arciero
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Orthopaedic Service, Keller Army Community Hospital, West Point, NY 10996-1197, USA.
D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery; D000070598:Anterior Cruciate Ligament Injuries; D020679:Arthroscopes; D001182:Arthroscopy; D001863:Bone Screws; D019723:Endoscopes; D004724:Endoscopy; D006801:Humans; D007431:Intraoperative Complications / Q000601:surgery*; D007718:Knee Injuries / Q000601:surgery*; D008297:Male; D008592:Menisci, Tibial / Q000601:surgery; D012086:Reoperation; D012422:Rupture, Spontaneous; D013536:Suture Techniques; D013709:Tendon Transfer / Q000295:instrumentation; D000070600:Tibial Meniscus Injuries; D014945:Wound Healing / Q000502:physiology