Complications following hamstring anterior cruciate ligament reconstruction with femoral cross-pin fixation.
Cross-pin fixation of hamstring grafts for anterior cruciate ligament reconstruction was developed with hopes of improving on potential problems associated with interference screw and button fixation methods. However, cross-pins are a relatively new method of graft fixation and there are limited data on this technique. We report 2 cases in which reoperation was necessary after complications associated with cross-pin fixation. In one case, the cross-pin was left too proud and in the other it penetrated the medial side of the femur and was prominent. Surgeons who use cross-pin fixation should pay close attention so as not to leave the cross-pin proud laterally or medially to avoid the necessity of reoperation for hardware removal.
Marx
Robert G
RG
Sports Medicine and Shoulder Service, The Hospital for Special Surgery, New York, New York 10021, USA. marxr@hss.edu
Spock
Christopher R
CR
D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D001858:Bone Nails; D004867:Equipment Design; D016267:External Fixators; D005260:Female; D006801:Humans; D007719:Knee Joint / Q000033:anatomy & histology; D008279:Magnetic Resonance Imaging; D008297:Male; D010149:Postoperative Pain / Q000601:surgery; D019651:Plastic Surgery Procedures; D012086:Reoperation