Screw complication of ACL reconstruction: report of two cases

Background: We analyzed the comlication of ACL reconstruction of the knee which were done at Hospital Tengku Ampuan AFzan, Kuantan, Pahang from 2004 to 2008. Hundrend and sixty-three cases were operated. Complication rate is about 11% (18 patients)including revision surgery rate of 3.7% (6 patients...

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Main Authors: Che Ahmad, Aminudin, Ismail, Raffael, Zakaria@Mohamad, Zamzuri, Zulkifly, Ahmad Hafiz
Format: Proceeding Paper
Language:English
Published: 2010
Subjects:
Online Access:http://irep.iium.edu.my/41065/
http://irep.iium.edu.my/41065/1/Binder1.pdf
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author Che Ahmad, Aminudin
Ismail, Raffael
Zakaria@Mohamad, Zamzuri
Zulkifly, Ahmad Hafiz
author_facet Che Ahmad, Aminudin
Ismail, Raffael
Zakaria@Mohamad, Zamzuri
Zulkifly, Ahmad Hafiz
author_sort Che Ahmad, Aminudin
building IIUM Repository
collection Online Access
description Background: We analyzed the comlication of ACL reconstruction of the knee which were done at Hospital Tengku Ampuan AFzan, Kuantan, Pahang from 2004 to 2008. Hundrend and sixty-three cases were operated. Complication rate is about 11% (18 patients)including revision surgery rate of 3.7% (6 patients). We are illustrating two case with uncommon complication of srew that encountered in ACL surgical reconstructed patients. Case 1: 28 year old man had undergo ACL reconstruction at 2004 using bone patella tendon bone (BPTB)graft and fixed with titanium screw. However, the femoral screw was dislodging posteriorly and remains there for there years until he was consented for open removal of the screw. Post-operatively uneventful. Case 2: 22 years old man presented in August 2009 with the tibial screw protruding through the skin since a week prior to the consultation. The ACL reconstruction was done 2 years before (2007). Emergency removal of screw and debridement revealed well fixed screw without loosening an d no evidence of infection. Histopathological review and cultures and sensitivity did not found any evidence of infection. The knee remains stable without any laxity. Conclusion: Using of screws for fixation of the graft in ACL reconstruction carefully and appropriately is mandatory to avoid the complication of both at the femoral and tibial components.
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format Proceeding Paper
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language English
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spelling iium-410652015-03-12T09:12:25Z http://irep.iium.edu.my/41065/ Screw complication of ACL reconstruction: report of two cases Che Ahmad, Aminudin Ismail, Raffael Zakaria@Mohamad, Zamzuri Zulkifly, Ahmad Hafiz RC1200 Sports Medicine RD701 Orthopedics Background: We analyzed the comlication of ACL reconstruction of the knee which were done at Hospital Tengku Ampuan AFzan, Kuantan, Pahang from 2004 to 2008. Hundrend and sixty-three cases were operated. Complication rate is about 11% (18 patients)including revision surgery rate of 3.7% (6 patients). We are illustrating two case with uncommon complication of srew that encountered in ACL surgical reconstructed patients. Case 1: 28 year old man had undergo ACL reconstruction at 2004 using bone patella tendon bone (BPTB)graft and fixed with titanium screw. However, the femoral screw was dislodging posteriorly and remains there for there years until he was consented for open removal of the screw. Post-operatively uneventful. Case 2: 22 years old man presented in August 2009 with the tibial screw protruding through the skin since a week prior to the consultation. The ACL reconstruction was done 2 years before (2007). Emergency removal of screw and debridement revealed well fixed screw without loosening an d no evidence of infection. Histopathological review and cultures and sensitivity did not found any evidence of infection. The knee remains stable without any laxity. Conclusion: Using of screws for fixation of the graft in ACL reconstruction carefully and appropriately is mandatory to avoid the complication of both at the femoral and tibial components. 2010 Proceeding Paper PeerReviewed application/pdf en http://irep.iium.edu.my/41065/1/Binder1.pdf Che Ahmad, Aminudin and Ismail, Raffael and Zakaria@Mohamad, Zamzuri and Zulkifly, Ahmad Hafiz (2010) Screw complication of ACL reconstruction: report of two cases. In: The 4th ConMed Linvatec Asia Arthroplasty Symposium 2010, 9 - 10 April 2010, JW Marriott Phuket Resort & Spa, Thailand.
spellingShingle RC1200 Sports Medicine
RD701 Orthopedics
Che Ahmad, Aminudin
Ismail, Raffael
Zakaria@Mohamad, Zamzuri
Zulkifly, Ahmad Hafiz
Screw complication of ACL reconstruction: report of two cases
title Screw complication of ACL reconstruction: report of two cases
title_full Screw complication of ACL reconstruction: report of two cases
title_fullStr Screw complication of ACL reconstruction: report of two cases
title_full_unstemmed Screw complication of ACL reconstruction: report of two cases
title_short Screw complication of ACL reconstruction: report of two cases
title_sort screw complication of acl reconstruction: report of two cases
topic RC1200 Sports Medicine
RD701 Orthopedics
url http://irep.iium.edu.my/41065/
http://irep.iium.edu.my/41065/1/Binder1.pdf