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KMID : 0361620070420060836
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Journal of the Korean Orthopaedic Association
2007 Volume.42 No. 6 p.836 ~ p.839
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Heterotopic Bone Formation in Patient who Underwent a Posterior Cruciate Ligament Reconstruction using the Inlay Method and Posterolateral Corner Sling with a Tibia Tunnel
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Lee Yong-Seuk
Jung Young-Bok
Jung Ho-Joong
Park Se-Jin
Nam Chang-Hyun
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Abstract
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We describe a case of posterolateral capsular heterotopic ossification requiring a surgical excision after a PCL (Posterior Cruciate Ligament) reconstruction using the modified inlay method and PLCS (posterolateral corner sling) with a tibia tunnel. A 21-year-old female patient had suffered a blunt proximal tibial direct trauma 6 months earlier. She did not experience limb ischemia or a pulse deficit before she visited our out patient clinic. She had not suffered any trauma in other sites, and showed a range of motion of 0 to 30o at 4 months after surgery. There was no specific finding on the X-ray images. Arthroscopic adhesiolysis was performed and her range of motion increased to 0 to 120o. However, 6 months after the initial operation, she showed ankylosis and heterotopic ossification at the posterior aspect, which was surgically removed at 12 months postoperatively. After the second surgery, there was no recurrence and she showed a 0 to 140o range of motion at postoperative 42 months.
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KEYWORD
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Posterior cruciate Ligament reconstruction, Posterolateral corner sling, Adhesiolysis, Heterotopic ossification
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