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KMID : 0359620150270040269
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Journal of Korean Knee Society
2015 Volume.27 No. 4 p.269 ~ p.273
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Tibial Tunnel Cyst Formation after Anterior Cruciate Ligament Reconstruction Using a Non-Bioabsorbable Interference Screw
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Yogesh V. Joshi
Padmanabh M. Phaltankar
Deepu Bhaskar
Charalambos P. Charalambous
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Abstract
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Tibial cyst formation following the use of bioabsorbable interference screws in anterior cruciate ligament (ACL) reconstruction is well-described; however, cyst formation after the use of metallic interference screws is not well-documented. We describe a case of osteolytic lesion of the proximal tibia presenting to us 20 years after ACL reconstruction using an autologous bone-tendon-bone graft. The original graft fixation technique was interference fixation with a metal screw in the tibial and femoral tunnels. A two-stage revision reconstruction of the ACL was undertaken with curettage and bone grafting of the tibial lesion in the first stage and reconstruction using a four-strand hamstring tendon in the second stage. The patient recovered satisfactorily with complete healing of the cyst and returned to pre-injury level of activities. We have reviewed case reports and case series that describe the aetiology of intra-osseous cyst formation following ACL reconstruction.
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KEYWORD
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Knee, Tibial cyst, Anterior cruciate ligament reconstruction, Interference screw, Metal
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