| Anterior cruciate ligament reconstruction failure after tibial shaft malunion. | |
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MedLine Citation:
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PMID: 22310418 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Anterior cruciate ligament (ACL) reconstruction is common, with >100,000 procedures performed each year in the United States. Several factors are associated with failure, including poor surgical technique, graft incorporation failure, overly aggressive rehabilitation, and trauma. Tibial shaft fracture is also common and frequently requires operative intervention. Failure to reestablish the anatomic alignment of the tibia may cause abnormal forces across adjacent joints, which can cause degenerative joint disease or attritional failure of the surrounding soft tissues.This article describes a case of ACL reconstruction failure after a tibial fracture that resulted in malunion. Excessive force across the graft from lower-extremity malalignment and improper tunnel placement likely contributed to the attritional failure of the graft. This patient required a staged procedure for corrective tibial osteotomy followed by revision ACL reconstruction. This article describes ACL reconstruction failure, tibial shaft malunions, their respective treatments, the technical details of each procedure, and the technical aspects that must be considered when these procedures are done in a staged manner by 2 surgeons. |
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Authors:
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Russell M Lafrance; John T Gorczyca; Michael D Maloney |
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Publication Detail:
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Type: Journal Article Date: 2012-02-17 |
Journal Detail:
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Title: Orthopedics Volume: 35 ISSN: 1938-2367 ISO Abbreviation: Orthopedics Publication Date: 2012 |
Date Detail:
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Created Date: 2012-02-07 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7806107 Medline TA: Orthopedics Country: United States |
Other Details:
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Languages: eng Pagination: e267-71 Citation Subset: IM |
Copyright Information:
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Copyright 2012, SLACK Incorporated. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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