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KMID : 0828620060100020187
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Journal of Korean Arthroscopy Society
2006 Volume.10 No. 2 p.187 ~ p.191
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Removal of a Femoral Interference Screw that Migrated Posteriorly after ACL Reconstruction,Using Postrior Trans-septal Portal -A Case Report-
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Ahn Jin-Hwan
Ha Hae-Chan
Lee Sang-Hak
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Abstract
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Few cases have been reported in which the femoral interference screw has migrated into the posterior compartment after an ACL reconstruction. It usually requires removal, because it leads usually to mechanical symptom. However, the arthroscopic removal of a screw is a technically demanding procedure, especially in the case of an intact integrated ACL graft or one that is encapsulated around the screw. We present a case in which a displaced femoral interference screw migrated within the posterior compartment 11 years postoperatively, after the graft had been successfully incorporated at the femoral site and showed good continuity on MRI and arthroscopic examination. Although it is often technically challenging, through the use of a posterior trans-septal portal, we can successfully remove a displaced femoral interference screw even in the most difficult locations in the posterior compartment without damage to ACL graft.
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KEYWORD
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Anterior cruciate ligament reconstruction, Femoral interference screw, Migrated posteriorly, Posterior trans-septal portal
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