Document Detail

Case report: Fibroxanthoma: a complication of a biodegradable screw.
MedLine Citation:
PMID:  19936858     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Biodegradable interference screws in anterior cruciate ligament (ACL) reconstruction have gained popularity because of their similar or superior fixation strength in comparison to metallic interference screws and because they do not cause imaging artifacts and do not need to be removed.
CASE DESCRIPTION: We report the case of a 23-year-old man who presented with slowly progressive firm swelling of 2 months' duration at the site of the tibial tunnel 3 years after ACL reconstruction using a biodegradable interference screw. After curettage and débridement, the material was sent for histopathologic examination, which was reported as a fibroxanthoma.
LITERATURE REVIEW: Reported complications are osteolysis around the screw, allergic reaction, sterile abscess formation, ganglion cyst formation, and intraarticular migration. A fibroxanthoma consists of fibroblasts and mononuclear or multinucleated cells with large lipid-filled histiocytes (foam cells). The cells are negative for S-100 and keratin and positive for anti-human macrophage marker HAM-56.
PURPOSES AND CLINICAL RELEVANCE: Use of biodegradable screws is associated with high healing rates and low complication rates; however, awareness of their potential complications may help in early recognition and prevention of associated morbidity.
Mir Sadat-Ali; Quamar Azzam; Mohammed Bluwi; Abdallah S Al-Umran
Related Documents :
24627288 - Paratesticular fibrous pseudotumor: a report of five cases and literature review.
19058568 - Splenic complications in malaria: a case series.
2195598 - Intraoperative guidance for intrauterine procedures with transrectal sonography.
25202158 - Congenital scoliosis in non-identical twins: case reports and literature review.
15926048 - Thymoma in a child: case report and review of the literature.
6284088 - Peripheral neuropathy after multiple tetanus toxoid injections.
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-11-21
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  468     ISSN:  1528-1132     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-02     Completed Date:  2010-07-20     Revised Date:  2013-05-31    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2284-7     Citation Subset:  AIM; IM    
The University Department of Orthopaedic Surgery, College of Medicine, King Faisal University, Dammam, Saudi Arabia.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Absorbable Implants / adverse effects*
Anterior Cruciate Ligament / surgery
Antibodies, Monoclonal / analysis
Bone Neoplasms / chemistry,  pathology*,  surgery
Bone Screws / adverse effects*
Histiocytes / chemistry,  pathology
Histiocytoma, Benign Fibrous / chemistry,  pathology*,  surgery
Macrophages / chemistry,  pathology
Prosthesis Failure
Tibia / pathology*,  surgery
Reg. No./Substance:
0/Antibodies, Monoclonal; 0/HAM-56 antibody
Comment In:
Clin Orthop Relat Res. 2011 Jan;469(1):300-1; author reply 302   [PMID:  20878555 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Neuromuscular function after arthroscopic partial meniscectomy.
Next Document:  Isokinetic muscle performance test can predict the status of rotator cuff muscle.