Tibial and pretibial cyst formation after anterior cruciate ligament reconstruction with bioabsorbable interference screw fixation.
We report a case of an osteolytic tibial enlargement in association with a pretibial cyst formation 8 months after successful anterior cruciate ligament reconstruction with autologous bone-patellar tendon-bone graft and tibial graft fixation with a bioabsorbable interference screw. No joint inflammatory reaction or graft insufficiency was detected. The patient underwent cyst excision and curettage of the tibial tunnel with full recovery and return to preinjury level of activity 2 months after the revision surgery. To our knowledge, the reported complication is the first obvious adverse reaction to a poly-D,L-lactide interference screw in anterior cruciate ligament surgery.
Martinek
V
V
Department of Orthopaedic Surgery and Traumatology, Kantonsspital Bruderholz, Switzerland.
Friederich
N F
NF
D020341:Absorbable Implants / Q000009:adverse effects*; D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D001175:Arthrography; D001182:Arthroscopy; D001845:Bone Cysts / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D001863:Bone Screws / Q000009:adverse effects*; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011091:Polyesters / Q000009:adverse effects*; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000009:adverse effects* / Q000295:instrumentation; D012086:Reoperation; D013710:Tendons / Q000637:transplantation; D013977:Tibia / Q000000981:diagnostic imaging / Q000473:pathology / Q000637:transplantation
D011091:Polyesters; C033616:poly(lactide)